The Centers for Medicare & Medicaid Services this afternoon issued its long awaited final rule on Medicaid managed care; the first major update in more than a decade. The final rule tracks closely to the proposed rule and would provide new standards for managed care provider networks, quality measures, external quality review, and beneficiary rights and protections. In addition, the final rule imposes new requirements for medical loss ratios for managed care plans, implements best practices identified in existing managed long-term care services and support programs, and requires states to develop a Medicaid managed care quality rating system for health plans.
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