{"abstract":"This final rule modernizes the Medicaid managed care regulations to reflect changes in the usage of managed care delivery systems. The final rule aligns, where feasible, many of the rules governing Medicaid managed care with those of other major sources of coverage, including coverage through Qualified Health Plans and Medicare Advantage plans; implements statutory provisions; strengthens actuarial soundness payment provisions to promote the accountability of Medicaid managed care program rates; and promotes the quality of care and strengthens efforts to reform delivery systems that serve Medicaid and CHIP beneficiaries. It also ensures appropriate beneficiary protections and enhances policies related to program integrity. This final rule also implements provisions of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) and addresses third party liability for trauma codes.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2016/05/06/2016-09581.html","cfr_references":[{"chapter":null,"citation_url":null,"part":431,"title":42},{"chapter":null,"citation_url":null,"part":433,"title":42},{"chapter":null,"citation_url":null,"part":438,"title":42},{"chapter":null,"citation_url":null,"part":440,"title":42},{"chapter":null,"citation_url":null,"part":457,"title":42},{"chapter":null,"citation_url":null,"part":495,"title":42}],"citation":"81 FR 27498","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Except for 42 CFR 433.15(b)(10) and Sec. 438.370, these regulations are effective on July 5, 2016. The amendments to Sec. Sec. 433.15(b)(10) and 438.370, are effective May 6, 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