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DecisionHealth, DecisionHealth - 2011 Issue 5 (May)

Proposed rule calls for state scrutiny of Medicaid programs, may slow pay cuts

Your state will have a harder time cutting your payments if CMS finalizes a proposed rule aimed at ensuring access to care for Medicaid patients. The proposed rule, published May 6 in the Federal Register, would require states to conduct comprehensive data analyses, based largely on provider and patient input, before making any payment changes to ensure that the modifications don’t prevent access to care.

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