![]() Reports are currently available upon request.Īs an additional step to aid states and the individuals many Medicaid and CHIP programs serve, CMS also released a toolkit to support program monitoring for Medicaid enrollees in Managed Long-Term Services and Supports (MLTSS) -specific managed care programs that can help ensure more people with long-term care needs transition from institutions to home and community-based settings. CMS will make all reports submitted through Managed Care Reporting available after an initial review of reports are complete. CMS will be creating a webpage on where states will be able to review the reports. To promote transparency in Medicaid and CHIP, the CIB also reminds states of the requirement to post their Network Adequacy and Access Assurances reports on a state website for each program they operate. The managed care reporting templates released today will provide a standard format for states to report managed care medical loss ratios (a measure that helps encourage health plans to provide value to enrollees) and network adequacy (a measure of how well a plan delivers its actual benefits) to CMS. ![]() To assist states in complying with specific protections for American Indian and Alaska Native communities, the CIB recommends specific practices and strategies to aid states and managed care plans in implementing statutory and regulatory Medicaid managed care protections for Alaska Natives and American Indians. Recognizing the unique needs of Indian Health Care Providers, many of whom participate in managed care, the CIB also offers information about ensuring timely and accurate payment to such providers. ![]() It also offers additional reporting templates and a new technical assistance toolkit, to help states improve their overall monitoring and oversight of managed care. “The tools we’re releasing today reflect the latest-and certainly not the last-step CMS is taking to increase transparency and ensure that people served through Medicaid and CHIP managed care programs are receiving high-quality, high-value care.”Īmong other highlights, today’s CIB outlines the latest updates to a new web-based portal for state reporting on managed care programs to CMS. “Ensuring access to health care for people enrolled in Medicaid and CHIP is a critical priority for the Biden-Harris Administration,” said CMS Administrator Chiquita Brooks-LaSure. “We are working hand-in-hand with states and doubling down on our efforts to improve access to health care for the millions of Americans enrolled in these programs.” “Today we are taking action to strengthen the oversight and transparency of Medicaid and CHIP-managed care programs,” said HHS Secretary Xavier Becerra. ![]() Released in a Center for Medicaid and CHIP Services Informational Bulletin (CIB), this new information includes tools, templates, and updates on tactics to improve states reporting on their managed care programs, which promotes access to care for millions of people enrolled in Medicaid and CHIP. These programs provide people with health benefits and additional services through contracted arrangements with managed care plans. ![]() Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS) unveiled a suite of new resources to improve CMS and state oversight of Medicaid and Children’s Health Insurance Program (CHIP) managed care programs. ![]()
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