Data / Federal rules / 2024-08085
Medicaid Program; Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality
The Centers for Medicare & Medicaid Services published this final rule in the Federal Register on May 10, 2024. It took effect on July 9, 2024.
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What the agency says
This final rule will advance CMS's efforts to improve access to care, quality and health outcomes, and better address health equity issues for Medicaid and Children's Health Insurance Program (CHIP) managed care enrollees. The final rule addresses standards for timely access to care and States' monitoring and enforcement efforts, reduces State burdens for implementing some State directed payments (SDPs) and certain quality reporting requirements, adds new standards that will apply when States use in lieu of services and settings (ILOSs) to promote effective utilization and that specify the scope and nature of ILOSs, specifies medical loss ratio (MLR) requirements, and establishes a quality rating system for Medicaid and CHIP managed care plans.
Key facts
- Document number
- 2024-08085
- Type
- Final rule
- Action
- Final rule
- Agency
- Health and Human Services Department; Centers for Medicare & Medicaid Services
- Published
- May 10, 2024
- Takes effect
- July 9, 2024
- Dates
- Effective Dates: These regulations are effective on July 9, 2024.
- Docket
- CMS-2439-F
- Regulation ID (RIN)
- 0938-AU99
- Code of Federal Regulations
- 42 CFR 430; 42 CFR 438; 42 CFR 457
- Topics
- Administrative practice and procedure; Citizenship and naturalization; Civil rights; Grant programs-health; Health insurance; Individuals with disabilities; Medicaid; Reporting and recordkeeping requirements; Sex discrimination
- Pages
- 284
Other documents from the Centers for Medicare & Medicaid Services
Everything from the Centers for Medicare & Medicaid Services · Rules on administrative practice and procedure · Rules on citizenship and naturalization · Rules on civil rights · Published in May 2024
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