Key Actions for States on CMS Access and Managed Care Rules

This guide outlines the key actions that states must undertake in response to the final rules issued by the Centers for Medicare & Medicaid Services (CMS) regarding access and managed care. The document details the significant changes introduced by the Access Rule and Managed Care Rule, which will affect payment, operations, oversight, and compliance within state Medicaid agencies. It emphasizes the need for states to enhance participant involvement, improve transparency, and strengthen health and welfare protections. The guide also highlights specific challenges states may face, such as establishing Medicaid Advisory Committees, developing grievance systems, and ensuring compliance with new reporting requirements. Furthermore, it discusses the importance of technology in supporting compliance and the necessity for states to track and report on various aspects of home and community-based services. The document serves as a comprehensive resource for states to navigate the complexities of these new regulations effectively.