Easier Medicaid Primary Care Access: Allowing Direct Primary Care Arrangements
This Act aims to make it easier for states to offer primary care services under Medicaid through 'Direct Primary Care Arrangements.' This means citizens enrolled in Medicaid could access primary care providers for a fixed, periodic fee, potentially improving service availability and quality. The changes do not alter existing requirements regarding the scope of benefits or cost-sharing in the Medicaid program.
Key points
New State Option: States can now offer Medicaid primary care through direct arrangements with providers, using a fixed periodic fee as the sole compensation.
Improved Access Flexibility: Medicaid beneficiaries may gain easier access to primary care practitioners operating under the Direct Primary Care model.
Guidance and Reporting: The federal government will issue guidance to states on implementing these arrangements and will report on their impact on the quality and cost of care.
Expired
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