Medicaid and the Children’s Health Insurance Program (CHIP) provide health care for millions of people in the United States, including individuals with very low incomes and children. Currently, 89 million people are enrolled in coverage, and while the Affordable Care Act has made improvements to help simplify eligibility and enrollment, there are still improvements to be made in order to ensure Medicaid and CHIP managed care enrollees get the care they need.
The Biden Administration has introduced the proposed Managed Care Access, Finance, and Quality Rule to strengthen standards for timely access to care and to better address health related social needs.
Benefits of the new rule include:
standards for timely access to care and making sure states monitor and enforce these standards, including:
No more than 10 business days for appointments in mental health and substance use disorder.
No more than 10 business days for adult and pediatric appointments, including checkups.
No more than 15 business days for OB/GYN appointments.
improvement of certain payment processes
quality reporting requirements for states
quality rating system for Medicaid and CHIP managed care plans
We need your help to tell the Biden Administration to improve managed care.
The deadline for submitting comments is July 3, 2023. Your comment will be sent directly to Regulations.gov and the National Health Law Program will retain a copy.
How to Comment
Use the form to submit a comment and tell the government why you support the new rule. Feel free to tell a little about yourself and why improving the quality of health care for all is important to you. Additionally, you should share your story if:
you’ve experienced long wait times in getting the care you need
you’ve faced payment barriers for services
you’ve had trouble comparing plans that meet your needs