On July 5, 2011, the AAPD and the ADA sent a joint comment letter to the Centers for Medicare and Medicaid Services (CMS) concerning proposed Medicaid regulations on methods for assuring access to covered services. As released in the May 6, 2011 Federal Register, the proposed regulations would provide greater CMS oversight of states when provider payment rate changes affect access to care. While a step in the right direction, the AAPD, ADA, and other advocacy organizations do not believe the proposal goes far enough. The AAPD/ADA letter recommended more frequent review of states, a focus on market-based rates and the need for fee increases, and more uniform data collection. The letter did commend CMS for embracing of the concept of analyzing the percentile which Medicaid payment represents of provider charges. For a copy of the letter click here.
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