November 19, 2020
On November 13, the Centers for Medicare and Medicaid Services (CMS) published the Medicaid Program; Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Final Rule in the Federal Register. CMS published the proposed rule, which includes significant revisions to its managed care regulations on November 14, 2018 (83 FR 57264). The majority of the rule’s provisions will become effective on December 13, 2020 with the exception of changes to Sections 438.4(c) and 438.6(d)(6), which are effective July 1, 2021. Upon its inauguration on January 1, 2021, the Biden Administration will have the option to further adjust managed care regulations through an executive order, the formal rulemaking process, and sub-regulatory guidance.