CMS Issues the Final Rule on Methods for Assuring Access to Covered Services

October 29, 2015

Today the Centers for Medicare & Medicaid Services (CMS) issued the Methods for Assuring Access to Covered Medicaid Services (CMS-2328-FC) Final Rule and Request for Information (RFI). The final rule allows states and CMS to make better informed, data-driven decisions when considering whether proposed changes to Medicaid fee-for-service payment rates are sufficient to ensure that Medicaid beneficiaries have access to covered Medicaid services. ┬áThe RFI requests comments on the potential development of standardized core set measures of access, access measures for long-term care and home and community based services, national access to care thresholds, and resolution processes that beneficiaries could use in facing challenges in accessing essential health care services. A Fact Sheet with more detail is available.