OBJECTIVE
As the HHS agency overseeing Medicaid, CMS issued regulations establishing certain circumstances under which States may direct managed-care payments to providers. These payments are referred to as State directed payments. While working within Federal parameters, States determine criteria for providers to receive these directed payments. For selected State directed payments in Medicaid managed care, our objective is to determine whether the State: (1) obtained CMS approval for the directed payment proposal, (2) complied with CMS-approved requirements and outcomes in the approved proposal, and (3) ensured that directed payments were made according to the approved proposal.
There are 2 projects in this series.
ACTIVE PROJECTS IN THIS SERIES (2)
Review of Kentucky's State Directed Payments in Medicaid Managed Care
Review of Mississippi's State Directed Payments in Medicaid Managed Care
TIMELINE
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July 15, 2024Series Number SRS-A-24-001 Assigned
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July 15, 2024Project Announced
Review of Kentucky's State Directed Payments in Medicaid Managed Care - A-04-24-00139
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October 29, 2024Project Announced
Review of Mississippi's State Directed Payments in Medicaid Managed Care - OAS-25-04-002
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Today2 Audits In-Progress
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Est FY2026Estimated Fiscal Year for Series Completion