CHA submitted the attached comment letter responding to the Centers for Medicare & Medicaid Services’ (CMS) proposed rule that would change managed care regulations for Medicaid and the Children’s Health Insurance Program (CHIP). While most of the rule’s proposals are technical adjustments or changes that have little impact on the Medi-Cal managed care program, some could impact the managed care portion of the Hospital Fee Program.
With that in mind, CHA urges CMS to:
- Consider multi-year approvals for directed payment programs structured like the Private Hospital Directed Payment Program.
- Provide greater flexibility with the network provider requirement as it relates to the directed payment programs.
- Build upon existing network adequacy standards instead of expanding flexibility unnecessarily.