The Centers for Medicare & Medicaid Services (CMS) finalized revisions to the Medicaid and Children’s Health Insurance Program (CHIP) managed care regulations that were proposed in 2018. The 2018 proposed rule and this final rule modifies several provisions from the 2016 managed care rule based on stakeholder feedback, including pass-through payments, network adequacy standards, and the Quality Rating System. It also adds a provision allowing states to determine the most appropriate method to coordinate Medicare and Medicaid benefits for those that qualify for both.
