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CMSRulemakingCMS-2015-0068

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)

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American Pharmacists Association (APhA) filings
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Activity

American Pharmacists Association (APhA) filed 1 comment on this docket between Aug 6, 2015 and Aug 6, 2015. 203 other organizations filed here. The comment window closed 4019d ago.

What American Pharmacists Association (APhA) filed (1)

Aug 6, 2015· DC--American Pharmacists Association· CMS-2015-0068-0638

Filed on regulations.gov — full text not in the inline record.

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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.

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Co-filers (203)

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