The Centers for Medicaid and CHIP Services (CMCS) finalized “CMS-2390-P” on Monday April 25, 2016, which is a set of rules that will be published in the Federal Register soon.
The rule applies to health insurers operating Medicaid managed care plans for the states and it is the first major update to Medicaid and CHIP managed care regulations in more than a decade. It aligns key rules with those of other health insurance coverage programs; modernizes how states purchase Medicaid managed care services; and strengthens the consumer experience and key consumer protections.
As Families USA says in their news email, “The new rule is a big deal in part because it affects so many people: There are more than 72 million people enrolled in Medicaid. Three quarters of them are in managed care plans across 39 states. States can—and many already have—gone above and beyond these new standards in many areas. For other states, it will require substantial work to come into compliance. For many provisions (of the rule), CMS has given states (and managed care plans) a long implementation timeline.”
NAME is pleased to announce the commencement of the NAME Biennial, National Survey for 2015-2016. Since 2005, NAME has developed, conducted and analyzed this survey to collect information about Medicaid School-based Services programs. We sent the survey to contacts at each state Department of Education and state Medicaid agency to complete. It is open only to state agencies to obtain clear state level data for trend analysis.
In early April 2016, the surveys were emailed to Medicaid contacts by NAME Executive Director John Hill, and to State Directors of Special Education by Nancy Reder from the National Association of State Directors of Special Education (NASDSE).
Each of these state contacts received the link to the online survey tool as well as a hard copy of the survey. The due date for completion is May 31, 2016 and it can be easily completed online in one session once needed information is gathered.
The NAME Biennial, National Survey has been improved and streamlined, so completing it is markedly quicker and easier than past versions. However, the goal of the Survey—to support NAME’s Mission of advocating program integrity for school based Medicaid reimbursement—is unchanged.
CMS final rule strengthens access to mental health and substance use disorder benefits for millions of beneficiaries who receive services through Medicaid managed care organizations, Medicaid alternative benefit plans or CHIP. Final rule released March 29 by the CMS.
States and plans must be in compliance no later than 18 months after publication of the final rule, which will be published in the Federal Register March 30.