CMS: Medicaid Program: Medicaid Managed Care State Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments

Federal Register

May 22, 2026

Notice of proposed rule from the Centers for Medicare & Medicaid Services describing alternatives to modify the limit on the total payment rate and other requirements for State directed payments in Medicaid managed care. This rule also proposes to set a limit for certain targeted Medicaid payments in Medicaid fee-for-service. Includes rural considerations throughout. Comments are due July 21, 2026.

Legislation and regulations · Medicaid · Reimbursement and payment models