CHA News Article

Deadline Extended for State Medicaid Access Monitoring Review Plans

The Centers for Medicare & Medicaid Services (CMS) has issued the attached final rule extending the deadline for states to develop and submit an access monitoring review plan for Medicaid beneficiaries from July 1 to Oct. 1. The rule also changes the deadline for subsequent review periods to Oct. 1.

The final rule with comment period, originally issued in November 2015, required the plans to provide for state reviews of five core services: primary care, physician specialists, behavioral health, pre- and post-natal obstetrics (including labor and delivery), and home health services. In comments on the previous final rule, CHA urged CMS to modify the core services to include hospital services — such as hospital inpatient/outpatient, long-term acute care hospital and inpatient psychiatric services — as well as skilled-nursing services and hospital-based post-acute care services in the review process by modifying the final rule or by reissuing it as a proposed rule for public comment. In the attached final rule, CMS declined to expand the list of core services subject to access reviews.