Managed Care
NAMD Issues Comments on CMS State Directed Payment Proposed Rule
The National Association of Medicaid Directors has submitted formal comments on CMS' 2026 proposed rule governing state directed payments in Medicaid managed care and targeted fee-for-service payments. NAMD's recommendations address regulatory changes CMS proposed for how states structure supplemental payments to providers through managed care contracts and direct Medicaid payments. The comments reflect state Medicaid directors' operational concerns about implementing potential new federal requirements for these payment arrangements, which states use to address provider rates, access, and delivery system reforms.
Why it mattersState directed payments are a primary mechanism states use to supplement managed care capitation and direct provider payments — NAMD's position will influence CMS' final rule and shape state flexibility in designing payment strategies.
Also covered by:medicaiddirectors.org