Wednesday, June 24, 2015

Hill Leaders Urge CMS to Finalize the Equal Access Rule

Dianne De La Mare

In a recent letter from Democratic Committee leaders in both the House and the Senate to the US Department of Health and Human Services (HHS) Secretary, Sylvia Burwell, the leadership urges the agency to finalize the Medicaid Program: Methods for Assuring Access to Covered Medicaid Services, or the so-called “equal access” rule.

With millions of Americans around the nation covered by Medicaid and millions more gaining eligibility for Medicaid benefits, oversight and enforcement of the Medicaid Act’s equal access provision is of critical importance. Further, with the recent US Supreme Court holding in Armstrong v Exceptional Child, making it impossible for providers to enforce the Medicaid Act’s payment provision in federal court, the only recourse providers have to enforce the Medicaid equal access provision is through HHS’ administrative process.

AHCA/NCAL strongly agrees with the Hill Democratic leadership that “CMS must provide firm and immediate oversight to ensure that states are setting and maintaining their Medicaid rate structures as Congress intends in section 1902(a)(30)(A) of the Medicaid Act.”

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