This portal provides support to beneficiaries both prior to and after enrollment in medical and dental managed care.
Managed Care Quality Strategy
The Final Rule requires each state Medicaid agency to implement a written quality strategy to assess and improve the quality of health care and services furnished by all Medicaid managed care entities within the state.
To strengthen access to services in a managed care network, the Final Rule requires states to establish network adequacy standards in Medicaid managed care for key types of providers, while leaving states the flexibility to set the actual standards.
On March 29, 2016, CMS issued the Medicaid Mental Health Parity Final Rule (Parity Rule) to strengthen access to mental health and substance use disorder services for Medicaid beneficiaries. The Parity Rule was intended to create consistency between the commercial and Medicaid markets.
Last modified on:
3/28/2018 1:47 PM