Medicaid: CMS Releases its 2016 Medicaid Managed Care Rate Development Guide

Last week, The Centers for Medicare & Medicaid Services (CMS) released its 2016 Medicaid Managed Care Rate Development Guide. This document will assist states in developing their Medicaid managed care rates for periods beginning on or after January 1, 2016. States and their actuaries are encouraged to follow this guide in the development of their actuarial certifications. After states submit their proposals, CMS will use this Guide as well as the regulations found at 42 CFR 438.6 as the basis for the review of 2016 actuarial certifications. If you have any questions about the guide, please send them to MMCratesetting@cms.hhs.gov.

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