Projects

Methods for Assuring Access to Covered Medicaid Services

2016–2019
Prepared For

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services

Mathematica provides support and technical assistance to the Centers for Medicare & Medicaid Services (CMS) and the states as they monitor access to care for beneficiaries in fee-for-service (FFS) Medicaid.

Mathematica provides support and technical assistance to the Centers for Medicare & Medicaid Services (CMS) and the states as they monitor access to care for beneficiaries in fee-for-service (FFS) Medicaid. Access encompasses examining, for example, whether beneficiaries’ needs are met, whether care and providers are available, how beneficiaries’ utilization of services may have changed, and how Medicaid payment rates compare with those of other public and private payers. Mathematica reviewed and assessed the 2016 Access Monitoring Review Plans (AMRPs) submitted by states (as required by 42 CFR 447.203 and 447.204), met with states to discuss their 2016 experiences, and worked with CMS to identify meaningful measures of access. We have created resources and tools to help states identify and report measures of access and compare Medicaid payment rates with those of other payers. We have also conducted webinars to let states know about the resources available to them.

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Related Staff

Allison Dodd

Allison Dodd

Senior Researcher

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Deborah  Chollet

Deborah Chollet

Senior Fellow

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Joseph Zickafoose

Joseph Zickafoose

Senior Researcher

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Eric Morris

Eric Morris

Researcher

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