Webinars | May 20, 2024

CMS Final Rules Part 2: Managed Care Payments, Quality, and Oversight

On Monday, May 20, State Health and Value Strategies hosted the second in a three-part webinar series on CMS’ highly anticipated final rules: (1) Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality (the “Managed Care Rule”), which focuses on managed care delivery systems; and (2) Ensuring Access to Medicaid Services (the “Access Rule”), which focuses on fee-for-service delivery systems and program improvements for home and community-based services (HCBS) across delivery systems. Part 2 focused exclusively on key provisions in the Managed Care Rule related to provider payment, financing, quality, and in lieu of services.

During Part 1 of the webinar series, experts from Manatt Health provided an overview of the provisions in both rules regarding access monitoring, enrollee engagement, provider payment transparency, and HCBS. Building on Parts 1 and 2, Part 3 provided a detailed overview of provisions in the Access Rule that aim to enhance access to HCBS, standardize quality measures and reporting requirements, and help address long-standing shortages in the direct care workforce.