CENTERS FOR MEDICARE & MEDICAID SERVICES ISSUES PROPOSED RULE: MEDICAID PROGRAM; MEDICAID MANAGED CARE STATE DIRECTED PAYMENTS AND MEDICAID FEE-FOR-SERVICE TARGETED MEDICAID PRACTITIONER PAYMENTS

WASHINGTON, May 22 -- Centers for Medicare & Medicaid Services has issued a proposed rule called: Medicaid Program; Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments.

The proposed rule was published in the Federal Register on May 22 by Robert F. Kennedy, Secretary, Department of Health and Human Services.

Summary: This proposed rule describes alternatives to modify the limit on the total payment rate and other requirements for State directed payments in Medicaid managed care. We propose these changes based on our authority to interpret and implement section 1902(a)(4) of the Social Security Act (the Act) with respect to prepaid inpatient health plans and prepaid ambulatory h...