On November 13, 2020, the Centers for Medicare & Medicaid Services (CMS) released the Final Rule for the 2020 Medicaid and Children’s Health Insurance Program (CHIP), CMS-2408-F1, otherwise referred to as the “2020 Final Rule.” The regulations contained in the 2020 Final Rule were effective on December 14, 2020, except for the additions of §438.4(c) (instruction 4) and §438.6(d)(6) (instruction 7), pertaining to certification of managed care capitation rate ranges and special contract provisions, which are effective July 1, 2021.

This is a brief summary of the key items reflected in the 2020 Final Rule.

Wakely Summary of the 2020 Medicaid and (CHIP) Managed Care Final Rule