Medicaid Program: Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments

PaNord Medical Services, an ambulance service provider, supports CMS's efforts to improve transparency in Medicaid supplemental payment programs. They advocate for state flexibility to design payment methodologies that account for the specific operational costs and community needs of EMS providers, such as rural geography and readiness costs.

Fort Sanders Regional Medical Center opposes the proposed rule, arguing that it imposes deeper and faster Medicaid payment cuts than required by Congress. The hospital urges CMS to allow aggregate Medicare limit calculations, maintain uniform increase SDPs, and preserve separate payment terms to ensure sufficient funding for patient care.

Southern Tier Independence Center, Inc. (STIC), a non-profit Center for Independent Living, opposes the proposed rule, arguing that CMS is overreaching by interpreting H.R. 1 far beyond the plain language of the statute. They argue the rule will result in significant cuts to healthcare providers and services for people with disabilities, particularly home-and-community-based services.

Indigenous Women Rising opposes the proposed limits on supplemental payments, arguing that such reductions could create financial challenges for providers and decrease healthcare access for underserved populations. They urge CMS to preserve the financial stability of providers serving Medicaid beneficiaries.

PaNord Medical Services, an ambulance service provider, supports CMS's efforts to improve transparency in Medicaid supplemental payment programs. They advocate for state flexibility to design payment methodologies that account for the high operational costs and specific community needs of EMS providers.

PaNord Medical Services, an ambulance service provider, supports CMS's efforts to improve transparency in Medicaid supplemental payment programs. They advocate for state flexibility to develop payment methodologies that account for specific operational costs, such as rural service areas, workforce retention, and readiness costs.

The International Nurse Coaching Association supports the CMS proposal to establish national payment for health and well-being coaching CPT codes. They specifically urge CMS to recognize AHNCC board-certified Nurse Coaches as qualified providers for these services and to establish appropriate payment rates.

Woods System of Care, a population health management organization, supports the implementation of the proposed rule but requests specific technical adjustments to ensure it remains workable for home and community-based and behavioral health services. They advocate for conforming the rule's scope to the specific categories enacted by Congress, establishing a clear compliance pathway for services without Medicare equivalents, and preserving value-based payment arrangements.

A primary care pediatrician in Pittsburgh opposes the proposed CMS rule to reduce payment rates on State Directed Payments (SDPs) and fee-for-service (FFS) payments. The commenter argues that these cuts will jeopardize healthcare access for vulnerable populations, including children, and threaten the financial stability of hospitals and clinics.

Legal Council for Health Justice opposes the proposed rule on state directed payments (SDPs) and fee-for-service (FFS) targeted payments, arguing that it will slash Medicaid funding and harm healthcare access for vulnerable populations. The organization expresses concern that these cuts will increase uncompensated care costs for hospitals and potentially drive hospitals toward private equity ownership, leading to service reductions or closures.