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February 22, 2008
 CMS Proposed Rule for State Flexibility in Benefit Packages
The federal Centers for Medicare and Medicaid Services (CMS) released two
proposed rules that will enable state Medicaid agencies to adjust
benefits packages and require increased cost sharing by enrollees. States
will be able to offer plan designs similar to benchmark plans. Such
plans include the following:
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Standard Blue Cross/Blue Shield preferred
provider option service benefit plan under the Federal Employees Health
Benefit Plan
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State employee coverage
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Coverage offered by the largest commercial
health maintenance organization in the state
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Coverage approved by the federal Secretary of
Health and Human Services
The new benefit flexibility rules are intended
to provide states with the ability to target benefits to meet the
specific needs of individuals or for different populations. The ability
to use benchmark plans will also give states the flexibility to provide
wrap-around coverage and dental benefits.
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OPEN MINDS