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2023-2024
Medicaid Managed Care Rate Guide - Version published for Public
Notice
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2023-2024
Medicaid Managed Care Rate Guide - Revised Version
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Type
of Change
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Reason
for Change
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Burden
Change
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Section
I.7.B.i.b included two examples of when a retrospective acuity
adjustment may be utilized including when (1) a new population
coming into the Medicaid program; and (2) a Medicaid population
that is moving from FFS to managed care when enrollment is
voluntary and there may be concerns about adverse selection.
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Section
I.7.B.i.b now includes a third example of when a retrospective
acuity adjustment may be used, specifically due to the unwinding
of the COVID-19 public health emergency (such as the resumption of
Medicaid eligibility determinations when the continuous enrollment
condition ends as part of the Consolidated Appropriations Act,
2023).
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Rev
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We
received a public comment on this topic and decided to include
this additional example for clarity.
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No
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Type of
Change: Rev = Revision,
Del = Deletion,
Add = Addition,
and Red
= Redesignation
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Mitch Bryman |
| File Modified | 0000-00-00 |
| File Created | 2024-07-23 |