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Unpacking CMS’s Final Rules on Medicaid Access and Managed Care

NCQA

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO).

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services. 25] Centers for Medicare and Medicaid Services.

Medicaid 124
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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

In addition to a range of metrics related to promoting prevention and reducing utilization related to ambulatory care-sensitive conditions, ICSP measures have included advanced care planning, evidence of physician order for life-sustaining treatment (POLST), effective care transitions, and assessment and management of chronic pain.

Medicaid 102