Supporting the Centers for Medicare & Medicaid Services (CMS) Oversight of Access to Care in Medicaid

This project assisted CMS in building a comprehensive access strategy and related tools based on policy analyses, data analyses, and stakeholder input. Examples of activities include:

• Organizing and hosting stakeholder listening sessions
• Conducting scans and analyses of existing access-related statutes, regulations, and data sources
• Comparing Medicaid and Medicare payment rates
• Creating reports on providers’ participation and beneficiary needs in Medicaid using data from the Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files (TAF) and other available data sources
• Supporting the release and analysis of public comments received for a CMS Request for Information (RFI) on access to coverage and care in Medicaid and CHIP

Reports

Access to Care | Medicaid.gov

• Request for Information (2022) Questions (PDF, 304.31 KB)
  CMS Request for Information (2022): Access to Coverage and Care in Medicaid and CHIP
• Full Report
  Summary of Public Comments in response to the CMS 2022 RFI: Access to Coverage and Care in Medicaid and CHIP
• Short Summary
  Summary of Public Comments from CMS's 2022 RFI: Access to Coverage and Care in Medicaid and CHIP
• Appendices
• Ensuring Access to Medicaid Services – A Guide for States to the Fee-For-Service Provisions of the Final Rule
• Access: Rate Reduction/Restructuring Template