The adequacy of provider networks is an important measure of access to care for Medicaid beneficiaries. An adequate provider network can improve health outcomes by ensuring that enrollees receive care when it is needed. Measuring adequacy of provider networks is difficult for a multitude of reasons including difficulty deciding what measures best represent adequate access, testing adequacy, and ensuring that care is high quality.Currently state managed care programs have wide latitude in how they require health plans to measure network adequacy and do not have to utilize quantitative measures such as time and distance standards or clinical professional to . . .