Provider Networks and Access in Medicaid Managed Care: A Look at Federal and State Standards

Medicaid depends on managed care. In 2016, more than 65 million Medicaid beneficiaries — about 80 percent — were enrolled in managed care. In an effort to ensure Medicaid managed care beneficiaries have appropriate access to health services, the Centers for Medicare and Medicaid Services issued updated federal regulations for Medicaid managed care in 2016, key elements of which took effect in plan years beginning in July 2018.

       

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