CMS Request for Information: Caring for Children with Medical Complexity

CMS released a request for information on coordinating care from out-of-state providers for Medicaid-eligible children with medically complex conditions. Through the RFI, CMS wants to:

• identify best practices for using out-of-state providers to provide care for children with medically complex conditions
• determine how care is coordinated for this population of children
• reduce barriers that prevent children from receiving care from out-of-state providers in a timely manner
• identify processes for screening and enrolling out-of-state providers, including streamlining such processes

CMS will use the information received to issue guidance to state Medicaid directors on the coordination of care from out-of-state providers for these children, which is required under the ACE Kids Act of 2019. This RFI was officially published on January 21st, and individuals will have 62 days to comment (comment period ends 3/23/20). Please review and share within your organizations. This is a great opportunity to highlight best practices and the challenges that children face when accessing care in another state. 

Request for Information

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