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Medicaid Service Delivery Systems and Provider Payment Methodologies State Ratesetting and Access to Care Until the ACFR grants it official status, the XMLRendition of the daily Federal Register on FederalRegister.gov does notProvide legal notice to the public or judicial notice to the courts.This table of contents is a navigational tool, processed from theHeadings within the legal text of Federal Register documents.This repetition of headings to form internal navigation links
Public Notice of Changes in Statewide Methods and Standards for Setting Payment Rates Medicaid Provider Participation and Public Process To Inform Access to Care Documentation of Access to Care and Service Payment Rates
Addressing Access Questions and Remediation of Access Issues Special Provisions for Proposed Provider Rate Reductions Documentation of Access to Care and Service Payment Rates (§ 447.203)
ICRs Carried Over From the Proposed Rule (May 6, 2011 76 FR 26352-26359) Collection of Information Requirements Provisions of the Final Regulations Public Notice of Changes in Statewide Methods and Standards for Setting Payment Rates (§ 447.205)
ICRs Regarding Ongoing Input (§ 447.203(b)(7)) ICRs Regarding Monitoring Procedures (§ 447.203(b)(6)(ii)) Access Monitoring Review Plan Framework Access Monitoring Review Plan Timeline
The final rule with comment period also recognizes electronic publication as an optional means of providing public notice of proposed changes in rates or ratesetting methodologies that the state intends to include in a Medicaid state plan amendment (SPA). ACTION:This final rule with comment period provides for a transparent data-driven process for states to document whether Medicaid payments are sufficient to enlist providers to assure beneficiary access to covered care and services consistent with section 1902(a)(30)(A) of the Social Security Act (the Act) and to address issues raised by that process. Access Review Timeframe and Monitoring ProceduresStart Preamble Start Printed 76 AGENCY:Centers for Medicare & Medicaid Services (CMS), HHS. Comments Associated With the Collection of Information Requirements ICRs Regarding Public Notice of Changes in Statewide Methods and Standards for Setting Payment Rates (§ 447.205) ICRs Regarding Public Process to Engage Stakeholders (§ 447.204)
You may mail written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-2328-FC, P.O. Follow the “Submit a comment” instructions.2. You may submit electronic comments on this regulation to. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission.You may submit comments in one of four ways (please choose only one of the ways listed):1. ADDRESSES:In commenting, please refer to file code CMS-2328-FC. DATES:Effective Date: These regulations are effective on January 4, 2016.Comment Date: To be assured of consideration, comments on § 447.203(b)(5) must be received at one of the addresses provided below, no later than 5 p.m.
Humphrey Building is not readily available to persons without federal government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. Humphrey Building, 200 Independence Avenue SW., Washington, DC 20201.(Because access to the interior of the Hubert H. For delivery in Washington, DC—Centers for Medicare & Medicaid Services, Department of Health and Human Services, Room 445-G, Hubert H. Alternatively, you may deliver (by hand or courier) your written comments ONLY to the following addresses prior to the close of the comment period: a. You may send written comments to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-2328-FC, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.4. By express or overnight mail.
End Further Info End Preamble Start Supplemental Information SUPPLEMENTARY INFORMATION:Inspection of Public Comments: All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. Start Further Info FOR FURTHER INFORMATION CONTACT:Jeremy Silanskis, (410) 786-1592. For delivery in Baltimore, MD— Centers for Medicare & Medicaid Services, Department of Health and Human Services, 7500 Security Boulevard, Baltimore, MD 21244-1850.If you intend to deliver your comments to the Baltimore address, call telephone number (410) 786-7195 in advance to schedule your arrival with one of our staff members.Comments erroneously mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period.For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.
Therefore, we are providing an opportunity for comment specifically on the access review requirements, including the service categories required for ongoing review, elements of the review, and the timeframe for submission.
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