CIB: Medicaid Managed Care Regulations with July 1, 2017 Compliance Dates

Today, the Centers for Medicare & Medicaid Services (CMS) issued an Informational Bulletin (CIB) that describes our intent to use enforcement discretion to focus on working with states to achieve compliance with the managed care regulations when states are unable to implement the July 1, 2017 requirements of the final rule.  To implement this enforcement discretion, states will need to identify for CMS those regulations of the final rule that they are unable to implement by the required compliance date.  This flexibility will not apply to the actuarial soundness, medical loss ratio (MLR), and pass-through payment provisions of the final rule because of the significant federal fiscal implications of these provisions for the Medicaid program.

The informational bulletin can be accessed on Medicaid.gov at http://www.medicaid.gov/Federal-Policy-Guidance/Federal-Policy-Guidance.html.