Category: Managed Care Rule

Senate Budget Subcommittee No. 3 Examines Managed Care Provider Network Adequacy

Today, Senator Richard Pan, on behalf of the Senate Budget Subcommittee No. 3 on Health and Human Services, held an oversight hearing to examine provider network adequacy in different managed care models in California. The hearing featured a presentation from Mari Cantwell, Chief Deputy Director of the Department of Health Care Services (DHCS), on the…

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DHCS Proposes Network Adequacy Standards

Last Spring, the Centers for Medicare and Medicaid Services (CMS) issued the Medicaid and CHIP Managed Care Final Rule, which addressed beneficiary rights and protections, program integrity, care coordination and network adequacy. In the Final Rule, states were required to implement state-specific standards for network adequacy in regards to time and distance. This week, DHCS…

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