{"abstract":"This proposed rule takes a comprehensive approach to improving access to care, quality and health outcomes, and better addressing health equity issues in the Medicaid program across fee-for-service (FFS), managed care delivery systems, and in home and community-based services (HCBS) programs. These proposed improvements seek to increase transparency and accountability, standardize data and monitoring, and create opportunities for States to promote active beneficiary engagement in their Medicaid programs, with the goal of improving access to care.","action":"Proposed 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/2023/05/03/2023-08959.html","cfr_references":[{"chapter":null,"citation_url":null,"part":"431","title":42},{"chapter":null,"citation_url":null,"part":"438","title":42},{"chapter":null,"citation_url":null,"part":"441","title":42},{"chapter":null,"citation_url":null,"part":"447","title":42}],"citation":"88 FR 27960","comment_url":null,"comments_close_on":"2023-07-03","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, by July 3, 2023.","disposition_notes":null,"docket_ids":["CMS-2442-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":2235,"comment_start_date":"2023-05-03","updated_at":"2023-07-07T01:01:19.561-04:00","comment_url":"https://www.regulations.gov/commenton/CMS-2023-0070-0001","allow_late_comments":null,"id":"CMS-2023-0070-0001","comment_end_date":"2023-07-04","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2023-0070","title":"Medicaid Program; Ensuring Access to Medicaid Services (CMS-2442-P)"}],"document_number":"2023-08959","effective_on":null,"end_page":28089,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2023/05/03/2023-08959.xml","html_url":"https://www.federalregister.gov/documents/2023/05/03/2023-08959/medicaid-program-ensuring-access-to-medicaid-services","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2023-08959?publication_date=2023-05-03","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2023-05-03/2023-08959/mods.xml","not_received_for_publication":null,"page_length":130,"page_views":{"count":33847,"last_updated":"2026-09-22 14:15:07 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-05-03/pdf/2023-08959.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-08959.pdf?1682626517","publication_date":"2023-05-03","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2023/05/03/2023-08959.txt","regulation_id_number_info":{"0938-AU68":{"issue":"202310","html_url":"https://www.federalregister.gov/regulations/0938-AU68/ensuring-access-to-medicaid-services-cms-2442-","title":"Ensuring Access to Medicaid Services (CMS-2442)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202310&RIN=0938-AU68&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AU68"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AU68/ensuring-access-to-medicaid-services-cms-2442-","title":"Ensuring Access to Medicaid Services (CMS-2442)"},"comments_count":2235,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2023-0070","supporting_documents_count":0,"docket_id":"CMS-2023-0070","document_id":"CMS-2023-0070-0001","regulation_id_number":"0938-AU68","title":"Medicaid Program; Ensuring Access to Medicaid Services (CMS-2442-P)","checked_regulationsdotgov_at":"2023-07-08T01:00:08Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":27960,"subtype":null,"title":"Medicaid Program; Ensuring Access to Medicaid Services","toc_doc":"Ensuring Access to Medicaid Services","toc_subject":"Medicaid Program:\n","topics":["Accounting","Administrative practice and procedure","Consumer protection","Drugs","Grant programs-health","Health facilities","Health professions","Medicaid","Organization and functions (Government agencies)","Public assistance programs","Reporting and recordkeeping requirements","Rural areas"],"type":"Proposed Rule","volume":88}