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CMS rule addresses how provider payment cuts hurt Medicaid beneficiaries
Modern Healthcare

The CMS released a final proposed rule Thursday requiring Medicaid agencies to monitor access to care for beneficiaries, particularly when a physician rate payment reduction is sought.

The rule was first proposed in May 2011 as a response to states’ proposing the reduction of provider payments after the recession slashed their budgets.

States would be required to measure enrollee needs, availability of care and providers, and use of services every three years and within a year of implementing a provider payment reduction.Any state that finds access issues would have to submit a correction plan within 90 days after discovering a problem.

 

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