Today,
the Centers for Medicare & Medicaid Services released a new CMCS Informational
Bulletin (CIB) to provide states guidance on how to temporarily modify
provider payment methodologies and capitation rates under their Medicaid
managed care contracts to address the impacts of the public health
emergency while preserving systems of care and access to services for
Medicaid beneficiaries. This guidance provides several options that states
can consider under their Medicaid managed care contracts, including:
- Adjusting managed care
capitation rates exclusively to reflect temporary increases in
Medicaid fee-for-service (FFS) provider payment rates where an
approved state directed payment requires plans to pay FFS rates;
- Requiring managed care plans to
make certain retainer payments allowable under existing authorities to
certain habilitation and personal care providers to maintain provider
capacity and access to services; and
- Utilizing state directed
payments to require managed care plans to temporarily enhance provider
payment under the contract.
In
addition to the options described in this guidance, CMS will consider,
where appropriate, state requests to retroactively amend or implement risk
mitigation strategies only for the purposes of responding to the COVID-19
pandemic.
The information released
today furthers CMS’s commitment to providing our state partners the
resources they need during this public health emergency. This
and earlier CMS actions in response to the COVID-19 crisis are all part of
ongoing White House Coronavirus Task Force efforts. To keep up with the
important work the Task Force is doing in response to COVID-19, click
here: www.coronavirus.gov. For a complete and updated list of CMS
actions, guidance, and other information in response to the COVID-19
virus, please visit the Current
Emergencies Website. Additionally, CMS has launched a
dedicated, Medicaid.gov,
COVID-19 resource page that will be continually updated with
relevant information.
|
No comments:
Post a Comment