In April, 2016 the Centers for Medicare & Medicaid Services (CMS) issued final regulations that substantially revise Medicaid managed care rules. These new rules will significantly impact community-based programs that provide LTSS services. 

This guide to the new managed care regulations is specifically tailored to aging and disability CBO concerns. Key topics covered include: Medical Loss Ratio and LTSS, Beneficiary Support System, Stakeholder Engagement, Enrollment and Disenrollment, Coverage and Continuation of Benefits Pending a Fair Hearing, Grievances and Appeal, Network Adequacy, and Disability Accessibility.

View the resource: Guide to Implications of the new Medicaid Managed Care Regulations for the Aging and Disability Networks