Industry Resources | August 11, 2020
Medicaid Managed Care Options In Responding To COVID-19
On May 14, 2020, The Centers for Medicare & Medicaid Services (CMS) published guidance for states amid financial uncertainty for health care provider organizations and managed care plans. The guidance provides options that states can consider under their Medicaid managed care contracts. This includes 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 . . .