On April 27th, CMS posted a notice of proposed rulemaking for the HCBS program titled Ensuring Access to Medicaid Services. While many of the provisions center on state obligations, we understand more reporting from states will trickle down to impose more reporting on providers. Much more analysis and debriefing to come. Here are some of the comparable highlights:
- Establishment of reporting requirements at both state and provider levels to demonstrate HCBS rate allocation between direct service and administrative costs.
- Proposed to impose transparency and reporting requirements on states to analyze and disclose provider-level payment rates while comparing some rates to Medicare’s rate for the same service.
- Increase stakeholder engagement through establishment of advisory groups.
