NAMD submitted comments to a Centers for Medicare and Medicaid Services (CMS) Request for Information (RFI) to provide key considerations around Medicaid access monitoring measures. NAMD recommends that CMS must allow states to retain authority over their reimbursement rates, as well as prioritize high-value measures that target specific program priorities and minimize overall reporting burden […]
NAMD submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to CMS’s final rule on monitoring access to Medicaid services. The letter requests a delay in the initial submission date for state access monitoring plans, that states heavily invested in Medicaid managed care be exempted from the rule’s requirements, and discusses […]
NAMD submitted comments to the Centers for Medicare and Medicaid Services (CMS) on the development of the Medicare and multi-payer provider incentive program created under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The letter, which responds to CMS’ request for information, offers insight on the inclusion of Medicaid alternative payment models in the program […]
Today, the National Association of Medicaid Directors submitted comments to Vicki Wachino, Director, Center for Medicaid & CHIP Services, Centers for Medicare & Medicaid Services at the U.S. Department of Health and Human Services on the proposed rule, Medicaid and Children’s Health Insurance Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies and Revisions […]
In this letter, the fourth in a series of recommendations to the Center for Medicaid and CHIP Services (CMCS) to inform its ongoing work in modernizing Medicaid managed care regulations, NAMD provides recommendations on quality measure development and implementation. Read the full letter here.
In this letter, the third in a series of recommendations submitted to the Centers for Medicare and Medicaid Services (CMCS), NAMD offers suggestions on ways to ensure robust consumer protections in Medicaid managed care programs. The letter provides recommendations in four main areas: network adequacy, enrollment practices, managed long term services and supports (MLTSS), and […]
In this letter, NAMD offers initial recommendations on program integrity to the Centers for Medicare and CHIP Services (CMCS) and the Center for Program Integrity (CPI) to inform these agencies’ ongoing work to modernize the Medicaid managed care regulations. These recommendations focus on provider enrollment, encounter and claims data, compliance and staffing, and benefit alignment. […]