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The letter, signed by America’s Essential Hospitals, America’s Physician Groups, Primary Care Collaborative, and others, explains that the proposed rule’s overly prescriptive application of Medicare-based limits will impede state efforts to advance value-based payment models tailored to Medicaid beneficiaries’ unique needs. The organizations urge CMS to preserve state and managed care organization flexibility, align Medicare-based payment limits with the Medicaid fee-for-service process, and refrain from limiting services not required by statute.
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