CMS to open Direct Contracting Model to Medicaid managed care organizations
Medicaid managed care organizations with enrollees dually eligible for Medicare can participate in the Direct Contracting Model’s Professional and Global Options beginning in January 2022, the Centers for Medicare & Medicaid Services announced yesterday.
Medicaid MCOs must have at least 3,000 aligned beneficiaries and obtain a letter of support from their state Medicaid agency to participate in the model, which offers two risk-sharing options and is set to begin for other entities next April.
The agency expects to provide more information on the risk-sharing options available to MCOs when it requests applications for the DC model early next year.
Related News Articles
Headline
The AHA April 23 released a blog responding to a report issued April 22 by Paragon Health Institute. The blog highlights how the report relies on a long list…
Blog
In think‑tank reports, like the one released this week by Paragon Health Institute, hospitals are often reduced to abstractions — payment rates, charts,…
Headline
The Centers for Medicare and Medicaid Services April 8 issued guidance on implementing a provision within the reconciliation bill passed in July 2025 regarding…
Headline
The Centers for Medicare & Medicaid Services April 2 announced the release of new data on health care utilization and prices at the provider and service…
Headline
The Centers for Medicare & Medicaid Services Innovation Center March 24 announced the launch of a new model under Medicaid and the Children’s Health…
Headline
The Centers for Medicare & Medicaid Services March 11 issued guidance to state survey agency directors clarifying and reinforcing the roles and…