Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability (CMS-2390-P)

204 organizations filed 208 public comments on Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability (CMS-2390-P), at the Centers for Medicare & Medicaid Services. The comment window closed 4019d ago.

Abstract

This proposed rule would modernize the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems. The proposed rule would align the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans; implement statutory provisions; strengthen actuarial soundness payment provisions to promote the accountability of Medicaid managed care program rates; and promote the quality of care and strengthen efforts to reform delivery systems that serve Medicaid and CHIP beneficiaries. It would also ensure appropriate beneficiary protections and enhance policies related to program integrity. This proposed rule would also require states to establish comprehensive quality strategies for their Medicaid and CHIP programs regardless of how services are provided to beneficiaries. This proposed rule would also implement provisions of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) and addresses third party liability for trauma codes.

Commenters (204)

• CA--Legal Aid Foundation of Los Angelestrade assoc.

  2 filings · confidence 85%
• CT--National Alliance on Mental Illnesstrade assoc.

  2 filings · confidence 85%
• FL--Teaching Hospital Council of Floridatrade assoc.

  2 filings · confidence 85%
• OH--Ohio Hospital Associationtrade assoc.

  2 filings · confidence 85%
• AL--UAB Health System and University of South Alabamaunverified attribution

  1 filing · confidence 70%
• American Health Care Association (AHCA/NCAL)trade assoc.

  1 filing · confidence 97%
• American Medical Associationtrade assoc.

  1 filing · confidence 97%
• American Pharmacists Association (APhA)trade assoc.

  1 filing · confidence 97%
• AR--Arkansas Association of Area Agencies on Agingtrade assoc.

  1 filing · confidence 85%
• AR--Arkansas Developmental Disabilities Provider Associationtrade assoc.

  1 filing · confidence 85%
• AZ--Arizona Association of Health Plans ("AzAHP"),trade assoc.

  1 filing · confidence 85%
• AZ--The Arizona Alliance for Community Health Centerstrade assoc.

  1 filing · confidence 85%
• CA - California Association of Health Planstrade assoc.

  1 filing · confidence 85%
• CA--California Association for Adult Day Servicestrade assoc.

  1 filing · confidence 85%
• CA--California Association of Health Facilitiestrade assoc.

  1 filing · confidence 85%
• CA--California Children's Hospital Associationtrade assoc.

  1 filing · confidence 85%
• CA--California Primary Care Associationtrade assoc.

  1 filing · confidence 85%
• CA--California School-Based Health Alliancetrade assoc.

  1 filing · confidence 85%
• CA--Children's Specialty Care Coalitiontrade assoc.

  1 filing · confidence 85%
• CA--County Behavioral Health Directors Association of Californiatrade assoc.

  1 filing · confidence 85%
• CA--Lucile Packard Foundation for Children's Healthtrade assoc.

  1 filing · confidence 85%
• CA--Molina Healthcare Incunverified attribution

  1 filing · confidence 70%
• CA--National Association Of State Long-Term Care Ombudsman Programs’trade assoc.

  1 filing · confidence 85%
• CA--Partners in Care Foundationtrade assoc.

  1 filing · confidence 85%
• CA--Raptor Pharmaceutical Corp.unverified attribution

  1 filing · confidence 70%
• CA--The University of California Health Systemunverified attribution

  1 filing · confidence 70%
• CA-California Hospital Associationtrade assoc.

  1 filing · confidence 85%
• CO--Colorado Coalition for the Medically Underservedtrade assoc.

  1 filing · confidence 85%
• CO--Nurse-Family Partnership®trade assoc.

  1 filing · confidence 85%
• DC - Healthcare Nutrition Counciltrade assoc.

  1 filing · confidence 85%
• DC - National Association of Medicaid Directorstrade assoc.

  1 filing · confidence 85%
• DC - Service Employees International Unionunverified attribution

  1 filing · confidence 70%
• DC--Alliance of Community Health Planstrade assoc.

  1 filing · confidence 85%
• DC--Alzheimer's Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Association of Nurse Anesthetiststrade assoc.

  1 filing · confidence 85%
• DC--American Dental Association/American Academy of Pediatric Dentistrytrade assoc.

  1 filing · confidence 85%
• DC--American Federation of Teacherstrade assoc.

  1 filing · confidence 85%
• DC--American Heart Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Hospital Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Lung Associationtrade assoc.

  1 filing · confidence 85%
• DC--American Osteopathic Associationtrade assoc.

  1 filing · confidence 85%
• DC--Association for Community Affiliated Planstrade assoc.

  1 filing · confidence 85%
• DC--Association of American Medical Collegestrade assoc.

  1 filing · confidence 85%
• DC--Association of Asian Pacific Community Health Organizationstrade assoc.

  1 filing · confidence 85%
• DC--Blue Cross and Blue Shield Association (“BCBSA”)trade assoc.

  1 filing · confidence 85%
• DC--Brian Injury Association of Americatrade assoc.

  1 filing · confidence 85%
• DC--Cancer Leadership Counciltrade assoc.

  1 filing · confidence 85%
• DC--Children’s Hospital Associationtrade assoc.

  1 filing · confidence 85%
• DC--Coalition for Whole Healthtrade assoc.

  1 filing · confidence 85%
• DC--Delta Dental Plans Associationtrade assoc.

  1 filing · confidence 85%
• DC--District of Columbia Primary Care Associationtrade assoc.

  1 filing · confidence 85%
• DC--Eisai Incunverified attribution

  1 filing · confidence 70%
• DC--Federation of American Hospitalstrade assoc.

  1 filing · confidence 85%
• DC--Guttmacher Institutetrade assoc.

  1 filing · confidence 85%
• DC--Indian Heath Service Tribal Self-Governance Advisory Committeetrade assoc.

  1 filing · confidence 85%
• DC--Indiana University Healthunverified attribution

  1 filing · confidence 70%
• DC--Medical Group Management Associationtrade assoc.

  1 filing · confidence 85%
• DC--National Association for Home Care & Hospicetrade assoc.

  1 filing · confidence 85%
• DC--National Association of Area Agencies on Agingtrade assoc.

  1 filing · confidence 85%
• DC--National Association of Medicaid Fraud Control Unitstrade assoc.

  1 filing · confidence 85%
• DC--National Council for Behavioral Healthtrade assoc.

  1 filing · confidence 85%
• DC--National Family Planning & Reproductive Health Associationtrade assoc.

  1 filing · confidence 85%
• DC--National Health Care Anti‐Fraud Association (NHCAA),trade assoc.

  1 filing · confidence 85%
• DC--National Patient Advocate Foundationtrade assoc.

  1 filing · confidence 85%
• DC--Pharmaceutical Care Management Associationtrade assoc.

  1 filing · confidence 85%
• DC--Philips Health Systemsunverified attribution

  1 filing · confidence 70%
• DC--School-Based Health Alliancetrade assoc.

  1 filing · confidence 85%
• DC--Temple University Health Systemunverified attribution

  1 filing · confidence 70%
• DC--The AIDS Institutetrade assoc.

  1 filing · confidence 85%
• DC--The Association for Behavioral Health and Wellnesstrade assoc.

  1 filing · confidence 85%
• DC--The National Council on Disabilitytrade assoc.

  1 filing · confidence 85%
• DC-American Cancer Society Cancer Action Networktrade assoc.

  1 filing · confidence 85%
• DC-American Clinical Laboratory Associationtrade assoc.

  1 filing · confidence 85%
• DC-American Medical Rehabilitation Providers Associationtrade assoc.

  1 filing · confidence 85%
• DC-American Telemedicine Associationtrade assoc.

  1 filing · confidence 85%
• DC-Christopher & Dana Reeve Foundationtrade assoc.

  1 filing · confidence 85%
• DC-Georgetown University Center for Children and Familiesunverified attribution

  1 filing · confidence 70%
• DC-National Association of Psychiatric Health Systemstrade assoc.

  1 filing · confidence 85%
• FL--Council of Florida Medical School Deanstrade assoc.

  1 filing · confidence 85%
• FL--Florida Association of Health Planstrade assoc.

  1 filing · confidence 85%
• FL--Foundation for LTC Solutions LLCtrade assoc.

  1 filing · confidence 85%
• FL--Safety Net Hospital Alliance of Floridatrade assoc.

  1 filing · confidence 85%
• HCBS Strategies Incorporatedunverified attribution

  1 filing · confidence 70%
• IA--Iowa Behavioral Health Associationtrade assoc.

  1 filing · confidence 85%
• IA--The Iowa Association of Community Providerstrade assoc.

  1 filing · confidence 85%
• IA--University of Iowa Health Careunverified attribution

  1 filing · confidence 70%
• ID--Iowa Primary Care Associationtrade assoc.

  1 filing · confidence 85%
• ID--National Alliance on Mental Illnesstrade assoc.

  1 filing · confidence 85%
• IL - American Medical Associationtrade assoc.

  1 filing · confidence 85%
• IL - Association of Rehabilitation Nursestrade assoc.

  1 filing · confidence 85%
• IL--Accreditation Association for Ambulatory Health Caretrade assoc.

  1 filing · confidence 85%
• IL--AIDS Legal Council of Chicagotrade assoc.

  1 filing · confidence 85%
• IL--Chestnut Health Systemsunverified attribution

  1 filing · confidence 70%
• IL--Community Behavioral Healthcare Association of Illinoistrade assoc.

  1 filing · confidence 85%
• IL--Electronic Health Record Associationtrade assoc.

  1 filing · confidence 85%
• IL--Gateway Foundationtrade assoc.

  1 filing · confidence 85%
• IL--Health Alliancetrade assoc.

  1 filing · confidence 85%
• IL--Heartland Alliance for Human Needs & Human Rightstrade assoc.

  1 filing · confidence 85%
• IL--IARF (Illinois Association of Rehabilitation Facilities)trade assoc.

  1 filing · confidence 85%
• IL--Illinois Alcoholism & Drug Dependence Associationtrade assoc.

  1 filing · confidence 85%
• IL--Illinois Primary Health Care Associationtrade assoc.

  1 filing · confidence 85%
• IL--Supportive Housing Providers Association of Illinoistrade assoc.

  1 filing · confidence 85%
• IL--The Community Behavioral Healthcare Association of Illinoistrade assoc.

  1 filing · confidence 85%
• IL--The South Suburban Council on Alcoholism and Substance Abusetrade assoc.

  1 filing · confidence 85%
• Illinois Alliance for Livingtrade assoc.

  1 filing · confidence 85%
• Inc.'s Children's Projectunverified attribution

  1 filing · confidence 70%
• KS--Big Tent Coalition of Kansastrade assoc.

  1 filing · confidence 85%
• KS--The Kansas Association for the Medically Underservedtrade assoc.

  1 filing · confidence 85%
• KS-Kansas Hospital Associationtrade assoc.

  1 filing · confidence 85%
• KY-Kentucky Hospital Associationtrade assoc.

  1 filing · confidence 85%
• LA--La Developmental Disabilities Counciltrade assoc.

  1 filing · confidence 85%
• LA--Louisiana Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MA--Mass Home Care/AAA Associationtrade assoc.

  1 filing · confidence 85%
• MA--Massachusetts Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MA--Massachusetts Law Reform Institutetrade assoc.

  1 filing · confidence 85%
• MD--American Occupational Therapy Associationtrade assoc.

  1 filing · confidence 85%
• MD--Association of Community Cancer Centerstrade assoc.

  1 filing · confidence 85%
• MD-American Nurses Associationtrade assoc.

  1 filing · confidence 85%
• MD-American Speech-Language-Hearing Associationtrade assoc.

  1 filing · confidence 85%
• MI--Area Agencies on Aging Association of Michigantrade assoc.

  1 filing · confidence 85%
• MI--Family Health Center Incunverified attribution

  1 filing · confidence 70%
• MI--Michigan Health & Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MI--National PACE Associationtrade assoc.

  1 filing · confidence 85%
• MN--Minnesota Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MO - Cerner Corporationunverified attribution

  1 filing · confidence 70%
• MO--the Missouri Hospital Associationtrade assoc.

  1 filing · confidence 85%
• MT--National Rural Health Associationtrade assoc.

  1 filing · confidence 85%
• National Association of Chain Drug Storestrade assoc.

  1 filing · confidence 97%
• National Community Pharmacists Associationtrade assoc.

  1 filing · confidence 97%
• NC-North Carolina Community Health Center Associationtrade assoc.

  1 filing · confidence 85%
• NE--Nebraska Medical Associationtrade assoc.

  1 filing · confidence 85%
• NH--Brain Injury Association of New Hampshiretrade assoc.

  1 filing · confidence 85%
• NJ - New Jersey Hospital Associationtrade assoc.

  1 filing · confidence 85%
• NJ--Bayer Healthcare LLCunverified attribution

  1 filing · confidence 70%
• NJ--Cooper University Health Careunverified attribution

  1 filing · confidence 70%
• NJ--Home Care & Hospice Association of NJtrade assoc.

  1 filing · confidence 85%
• NJ--Independent Pharmacy Cooperativeunverified attribution

  1 filing · confidence 70%
• NJ--The New Jersey Health Care Quality Institutetrade assoc.

  1 filing · confidence 85%
• NY--Coalition of New York State Public Health Planstrade assoc.

  1 filing · confidence 85%
• NY--Home Care Association of NYStrade assoc.

  1 filing · confidence 85%
• NY--National Association of Pediatric Nurse Practitionerstrade assoc.

  1 filing · confidence 85%
• NY--National Hemophilia Foundationtrade assoc.

  1 filing · confidence 85%
• NY--New York City Health and Hospitals Corporationunverified attribution

  1 filing · confidence 70%
• NY--New York Health Plan Associationtrade assoc.

  1 filing · confidence 85%
• NY--The Alliance of TBI and NHTD Waiver Providerstrade assoc.

  1 filing · confidence 85%
• NY--The Community Health Care Association of New York Statetrade assoc.

  1 filing · confidence 85%
• NY--The Continuing Care Leadership Coalitiontrade assoc.

  1 filing · confidence 85%
• NY--The Legal Aid Societytrade assoc.

  1 filing · confidence 85%
• OH--Ohio Association of Area Agencies on Agingtrade assoc.

  1 filing · confidence 85%
• OR--Oregon Prevention Education and Recovery Associationtrade assoc.

  1 filing · confidence 85%
• OR-Oregon Association of Hospitals & Health Systemstrade assoc.

  1 filing · confidence 85%
• PA - Pennsylvania Association of County Drug and Alcohol Administratorstrade assoc.

  1 filing · confidence 85%
• PA--American Association of Birth Centerstrade assoc.

  1 filing · confidence 85%
• PA--National Association of Community Health Centerstrade assoc.

  1 filing · confidence 85%
• PA--Pennsylvania Association of Community Health Centerstrade assoc.

  1 filing · confidence 85%
• PA--Pennsylvania Homecare Associationtrade assoc.

  1 filing · confidence 85%
• PA--The Council of Southeast Pennsylvania/PRO-ACTtrade assoc.

  1 filing · confidence 85%
• PA--The Hemophilia Alliancetrade assoc.

  1 filing · confidence 85%
• PA--The Hospital & Healthsystem Association of PAtrade assoc.

  1 filing · confidence 85%
• PA--United Concordia Companies Inc.unverified attribution

  1 filing · confidence 70%
• PR--Puerto Rico Insurance Companies Associationtrade assoc.

  1 filing · confidence 85%
• RI--Rhode Island Health Center Associationtrade assoc.

  1 filing · confidence 85%
• SC--South Carolina Hospital Associationtrade assoc.

  1 filing · confidence 85%
• SC--The South Carolina Primary Health Care Association (SCPHCAtrade assoc.

  1 filing · confidence 85%
• SKS Inc/Heffron Chiropractic Clinic`unverified attribution

  1 filing · confidence 70%
• TN - Tennessee Health Care Associationtrade assoc.

  1 filing · confidence 85%
• TN--Tennessee Hospital Associationtrade assoc.

  1 filing · confidence 85%
• TN--Tennessee Primary Care Associationtrade assoc.

  1 filing · confidence 85%
• TX - Community Health Choice Inc.unverified attribution

  1 filing · confidence 70%
• TX--American Association for Respiratory Caretrade assoc.

  1 filing · confidence 85%
• TX--Hogg Foundation for Mental Healthtrade assoc.

  1 filing · confidence 85%
• TX--National Alliance on Mental Illness (NAMI) Texastrade assoc.

  1 filing · confidence 85%
• TX--National Association of Dental Planstrade assoc.

  1 filing · confidence 85%
• TX--Texas Association of Community Health Centerstrade assoc.

  1 filing · confidence 85%
• TX--Texas Association of Health Planstrade assoc.

  1 filing · confidence 85%
• TX--Texas Council of Community Centerstrade assoc.

  1 filing · confidence 85%
• TX-Personal Attendant Coalition of Texastrade assoc.

  1 filing · confidence 85%
• University of Maryland Carey School of Lawunverified attribution

  1 filing · confidence 70%
• UT--Association for Utah Community Healthtrade assoc.

  1 filing · confidence 85%
• UT--University of Utah Health Plansunverified attribution

  1 filing · confidence 70%
• VA--American Association of Nurse Practitionerstrade assoc.

  1 filing · confidence 85%
• VA--American Diabetes Associationtrade assoc.

  1 filing · confidence 85%
• VA--Emergency Department Practice Management Associationtrade assoc.

  1 filing · confidence 85%
• VA--HIV Medicine Associationtrade assoc.

  1 filing · confidence 85%
• VA--National Alliance on Mental Illnesstrade assoc.

  1 filing · confidence 85%
• VA--National Association of Addiction Treatment Providerstrade assoc.

  1 filing · confidence 85%
• VA--National Association of Chain Drug Storestrade assoc.

  1 filing · confidence 85%
• VA--National Association of State Directors of Developmental Disabilities Servicestrade assoc.

  1 filing · confidence 85%
• VA--National Association of State Mental Health Program Directorstrade assoc.

  1 filing · confidence 85%
• VA--National Community Pharmacists Associationtrade assoc.

  1 filing · confidence 85%
• VA--National PACE Associationtrade assoc.

  1 filing · confidence 85%
• VA--Pharmacy Quality Alliancetrade assoc.

  1 filing · confidence 85%
• VA--The Virginia PACE Alliancetrade assoc.

  1 filing · confidence 85%
• VA--Virginia Community Healthcare Associationtrade assoc.

  1 filing · confidence 85%
• VA--Virginia Hospital & Healthcare Associationtrade assoc.

  1 filing · confidence 85%
• VA-American Physical Therapy Associationtrade assoc.

  1 filing · confidence 85%
• VA-American Psychiatric Associationtrade assoc.

  1 filing · confidence 85%
• VA-Appalachian Agency for Senior Citizensunverified attribution

  1 filing · confidence 70%
• WA--Alliance for a Just Societytrade assoc.

  1 filing · confidence 85%
• WA-Washington State Hospital Associationtrade assoc.

  1 filing · confidence 85%
• WI--Wisconsin Council on Children and Familiestrade assoc.

  1 filing · confidence 85%
• WI--Wisconsin Hospital Associationtrade assoc.

  1 filing · confidence 85%
• WI--Wisconsin Primary Health Care Associationtrade assoc.

  1 filing · confidence 85%
• WV--Highland Hospital Associationtrade assoc.

  1 filing · confidence 85%