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Indian Provisions in the Final Medicaid and Children's Health Insurance Program Managed Care Regulations

Guidance for : The Center for Medicaid and CHIP Services (CMCS) is issuing this Informational Bulletin to summarize the relevant Indian provisions of the final Medicaid and the Children�s Health Insurance Program (CHIP) managed care regulation into one document, clarify current statute and regulation regarding mandatory enrollment of Indians into managed care, and provide sample language for an Indian Addendum that can be offered to managed care plans on a voluntary basis when executing network provider agreements with Indian health care providers (IHCPs). Introduction On April 25, 2016, CMS published a final rule on managed care in Medicaid and CHIP.

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Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 14, 2016

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.