LETTER — Response to Medicaid Fiscal Accountability Proposed Rule

ACHP acknowledges concerns raised regarding Medicaid directed payments, including those that are designed solely to maximize federal financial participation rather than drive coverage gains or quality. However, recently proposed regulations fails to account for the significant impact this rule would have on state budgets, hospital financing, health plans and community and safety net providers. Given that CMS has not fully evaluated the data to assess the impact of this rule on these critical stakeholders – and on state budgets – ACHP respectfully request that CMS withdraw and re-propose the regulation with the necessary information for meaningful review and comment.

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