CMS Issues Addendum to 2024-2025 Medicaid Managed Care Rate Development Guide

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CMS Issues Addendum to 2024-2025 Medicaid Managed Care Rate Development Guide  

Today, the Centers for Medicare & Medicaid Services (CMS) released an Addendum to the 2024-2025 Medicaid Managed Care Rate Development Guidefor states to accommodate the provisions of the Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Final Rule (CMS-2439-F, 89 FR 41002) on May 10, 2024 (“final rule”). rule that takes effect July 9, 2024. The 2024-2025 Medicaid Managed Care Rate Development Guide is a resource for states to use when setting capitation rates with managed care plans for care beneficiaries receive through Medicaid managed care programs. The guide provides details around information that must be included in the states’ actuarial rate certifications for CMS to review and approve for rating periods between July 1, 2024, and June 30, 2025.