The Centers for Medicare and Medicaid Services (CMS) proposed a rule change to the Payment Error Rate Measurement (PERM) and Medicaid Eligibility Quality Control (MEQC) programs that have to do with changes as a result of the Affordable Care Act to the way states decide eligibility for Medicaid and Children's Health Insurance Program (CHIP). More information about the proposed change as well as the proposed rule can be found here.
The Chicago Department of Public Health collaborated with the Partnership for Healthy Chicago develop of Health Plan for the city of Chicago. This was the work of many stakeholders from both public and private stakeholders. The strategies are outlined in the Healthy Chicago 2.0 Plan. The detailed plan outlines all areas for a healthy community including health and education which can be found starting on page 24.
The Centers for Medicaid and CHIP Services (CMCS) finalized “CMS-2390-P” on Monday April 25, 2016, which is a set of rules that will be published in the Federal Register soon.
The rule applies to health insurers operating Medicaid managed care plans for the states and it is the first major update to Medicaid and CHIP managed care regulations in more than a decade. It aligns key rules with those of other health insurance coverage programs; modernizes how states purchase Medicaid managed care services; and strengthens the consumer experience and key consumer protections.
As Families USA says in their news email, “The new rule is a big deal in part because it affects so many people: There are more than 72 million people enrolled in Medicaid. Three quarters of them are in managed care plans across 39 states. States can—and many already have—gone above and beyond these new standards in many areas. For other states, it will require substantial work to come into compliance. For many provisions (of the rule), CMS has given states (and managed care plans) a long implementation timeline.”