New proposed regulation from CMS contain many new and updated requirements for states, Medicaid managed care plans, and providers intended to improve beneficiary access to care, quality, and health outcomes in both fee-for-service (FFS) and managed care delivery systems while advancing CMS’ health equity goals.

In November 2022, United States Senators Cassidy, Carper, Scott, Warner, Cornyn, and Menendez issued a request for information (RFI) regarding approaches for improving coverage for individuals who are dually eligible for Medicare and Medicaid. Dual eligible beneficiaries are more likely to have  complex health needs that are difficult and often expensive to treat. Too often, they experience a lack of integration and coordination that often results in confusing encounters with the health care system and negative health outcomes.