tci Medicare Compliance & Reimbursement - 2016 Issue 10

Industry Note: HHS Aims to Revamp CHIP And Medicaid

In an effort to provide greater clarity and responsibility while offering superior managed care in Medicaid and the Children’s Health Insurance Program (CHIP), the Department of Health and Human Services (HHS) announced a Final Rule, which aims to revamp the programs and improve the health care system, according to an April 25 HHS news release. In short, the new overhaul targets four objectives that would improve quality of care, increase the states’ involvement and delivery of the programs, reform past discrepancies in the areas of provider adequacy and fiscal responsibility, and provide a detailed rating system for engaging...

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