Specifically, the final rule requires states to develop an access review plan that sets out the data elements and other information to be used to ensure beneficiary access to mandatory and optional services; to establish new procedures to review the effects of proposed rate reductions and payment restructuring on beneficiary access; and to implement ongoing access monitoring reviews of key services, and additional services as warranted.
The new Equal Access Rule goes into effect in January. In addition, CMS is seeking feedback concerning approaches the agency and states should consider to ensure better compliance with Medicaid access requirements. Feedback will be accepted until January 4, 2016. INARF plans to develop comments on this issue and will share broadly with members to encourage them to do the same.
We hope you find this information helpful. Should you have questions or need any additional information, please contact your INARF office.