Access monitoring under Medicaid fee for service

This slide set discusses the results of a survey of Medicaid directors examining how states monitor and assess access to services under fee-for-service (FFS) Medicaid. The 2015 Supreme Court decision in Armstrong v. Exceptional Child Care Inc. placed greater responsibility on the Centers for Medicare & Medicaid Services (CMS) to enforce access to care for people receiving services under FFS Medicaid. In November 2015, the CMS published a final rule on how states should monitor and report on access to care in FFS Medicaid. The presentation covers preliminary findings from a MACPAC survey of states on their efforts to monitor access and a review of plans submitted by states on how they will comply with the equal access rule.