![CMS-medicare-AHA-comment](/sites/default/files/2018-05/CMS-medicare-AHA-comment.jpg)
In comments submitted yesterday, AHA strongly urged the Centers for Medicare & Medicaid Services to withdraw a proposed rule that would exempt states with high Medicaid managed care enrollment or that propose “nominal” rate reductions from requirements to assess whether their Medicaid fee-for-service rates are sufficient to ensure beneficiary access to covered services.