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Rules would let states hike Medicaid cost-sharing
Modern Healthcare

The CMS issued proposed operational rules Monday for health insurance exchanges and Medicaid programs, which included an increase in allowable beneficiary cost-sharing in the latter. Notably, the rule would change Medicaid premiums and cost-sharing requirements to allow states to establish higher cost-sharing for nonpreferred drugs, and to impose higher cost-sharing for nonemergency use of emergency departments. Specifically, the rule would allow states to change their Medicaid programs without a waiver to require an $8 cost share for non-emergency ED use for Medicaid enrollees with incomes of 100% to 150% of the federal poverty level.

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