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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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National Association of Chain Drug Stores filings
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National Association of Chain Drug Stores filed 1 comment on this docket between Jul 30, 2015 and Jul 30, 2015. 203 other organizations filed here. The comment window closed 4019d ago.

What National Association of Chain Drug Stores filed (1)

Jul 30, 2015· VA--National Association of Chain Drug Stores· CMS-2015-0068-0250

The National Association of Chain Drug Stores (NACDS) is pleased to submit comments to the Centers for Medicare & Medicaid Services (CMS) regarding our views on the proposed regulations published on Monday, June 1, 2015 in the Federal Register. The proposed regulations would align the rules governing Medicaid and CHIP managed care with those of other major sources of coverage and implement statutory provisions which would promote the accountability and quality of care provided by Medicaid managed care plans. NACDS believes that updating the rules related to Medicaid managed care provides an opportunity to protect both patients and providers as the use of managed care in the Medicaid program increases. We are providing these comments in hopes of partnering with CMS in the development of managed care requirements that will not only provide a framework for managed care plans, but will also create standards that will serve to maintain the strong link between Medicaid patients and community pharmacies and the valuable services that these pharmacies provide.

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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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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) (CMS) — National Association of Chain Drug Stores | OpenPolis