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States, plans say CMS ignored their suggestions on managed-care rate rules
Modern Healthcare

The CMS‘ new guidelines on reimbursement for Medicaid managed care organization (MCO) plans ignore suggestions made by states and health plans that the new guidelines won’t help them.The National Association of Medicaid Directors (NAMD) sent a letter to the CMS saying that before the agency finalized its guidelines, it should outline clear timelines for rate reviews and approvals, because delays have previously meant financial uncertainty for states.“These delays can span years and can adversely impact contract approvals and modifications, waiver extensions and performance measurement,” the NAMD wrote.

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