On Monday, April 25, HHS released an advanced notice of a final rule revising Medicaid managed care regulations. The managed care rules were last updated in 2002. The intent of the re-write was to more closely align the Medicaid managed care rules with the rules governing other health insurance programs. The final rules included changes in the appeals process, the quality system, network adequacy, and a number of other changes. Many of the provisions of the rule will take effect 60 days after publication though some provisions are effective at a later date. The Arc will be reviewing the regulations and will provide additional analysis.