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Medicaid Managed Care State Directed Payments and Medicaid Fee-For-Service Targeted Medicaid Practitioner Payments Proposed Rule (CMS-2449-P)
MMAPA is asking CMS not to apply the new Medicaid payment restrictions to Puerto Rico in the same way as the states. Puerto Rico already has limited Medicaid funding and ongoing provider shortages. MMAPA is concerned that additional restrictions on State Directed Payments could make it harder to retain providers, maintain adequate healthcare networks, and ensure Medicaid patients have access to care.
14 House Republicans Urge Medicare Advantage Payment Action for Puerto Rico
Fourteen Republican members of the U.S. House are urging the Trump Administration to take administrative action on Medicare Advantage payments in Puerto Rico, where more than 681,000 beneficiaries rely on the program and enrollment is the highest in the nation. Led by Rep. Greg Murphy, Chairman of the House Republican Doctors Caucus, the lawmakers are asking HHS and CMS to establish a minimum payment floor beg inning in 2028, bringing Puerto Rico to the level currently provid
Congressional Meetings Highlight Progress on Medicaid Legislation and Effortsto Reduce Medicare Advantage Payment Disparities in Puerto Rico
San Juan, Puerto Rico – Representatives of Puerto Rico's healthcare sector concluded a series of meetings this week with Members of Congress and federal agencies, where policymakers expressed growing interest in identifying solutions to strengthen Medicaid and Medicare Advantage, two programs that are the backbone of Puerto Rico's healthcare system.
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