Medicaid Spending Transparency: Mandatory Reporting for State Directed Payments.
This law mandates that states publicly report how they direct payments to healthcare providers within the Medicaid program, particularly through private managed care organizations. The goal is to ensure these significant public funds are spent efficiently, improve the quality of care, and enhance access for Medicaid beneficiaries. All detailed payment data, including calculation methods and recipient criteria, will be made publicly available online.
Key points
States must disclose how they spend Medicaid funds when directing payments to specific providers via managed care plans.
Reports must detail how payments ensure quality of care, who is eligible to receive them, and how the amounts compare to commercial rates.
All collected payment data will be published regularly on the CMS website, increasing public oversight of healthcare spending.
Expired
Citizen Poll