CMS Proposes New Limits on State Directed Payments and Targeted FFS Provider Payments

CMS has released a proposed rule that would formalize state directed payment limits under recent federal legislation and introduce new restrictions on targeted fee-for-service provider payments in Medicaid. The rule clarifies existing SDP payment limits, grandfathering provisions, and phase-down requirements that will directly affect how states structure supplemental payments through managed care arrangements. Sellers Dorsey provides a detailed breakdown of the key provisions during the 60-day comment period.

Managed Care · Finance

This is outside commentary from Sellers Dorsey, not part of Medicaid Monitor's independently scored news coverage.

More from Sellers Dorsey