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Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library

Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) The Law Library presents the complete text of the Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition). Updated as of May 29, 2018 This final rule modernizes the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems. The final rule aligns, where feasible, many of the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans; implements statutory provisions; strengthens actuarial soundness payment provisions to promote the accountability of Medicaid managed care program rates; and promotes the quality of care and strengthens efforts to reform delivery systems that serve Medicaid and CHIP beneficiaries. It also ensures appropriate beneficiary protections and enhances policies related to program integrity. This final rule also implements provisions of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) and addresses third party liability for trauma codes. This book contains: - The complete text of the Medicaid and Children's Health Insurance Program (CHIP) Programs - Medicaid Managed Care, CHIP Delivered in Managed Care (US Centers for Medicare and Medicaid Services Regulation) (CMS) (2018 Edition) - A table of contents with the page number of each section