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CMS Nears Finalization of Medicaid Access Rule Amidst Debated 80/20 Provision

CMS Nears Finalization of Medicaid Access Rule Amidst Debated 80/20 Provision

Medicaid

On January 26, 2024, the Centers for Medicare & Medicaid Services (CMS) submitted the final Ensuring Access to Medicaid Services (CMS-2442) rule to the Office of Management and Budget (OMB) for the last review stage. The final clearance process, potentially spanning weeks or months, may lead to a spring release, with an estimated projection for April 2024.

The proposed rule introduces the debated 80/20 provision, mandating that 80% of Medicaid payments for specific services be allocated to direct care worker compensation. Last summer, HCAF raised concerns in comments to CMS, highlighting issues with CMS' one-size-fits-all approach that overlooks the distinct challenges faced by different states. HCAF advocated for changes, emphasizing potential unintended consequences that could impede access to care, leaving providers in a financial deficit or prompting withdrawal from the program.

Stay tuned for further details and announcements as updates are released.

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