Centers for Medicare and Medicaid Services (CMS) October Developments

October 2024, CMS has released several new resources and implemented changes to facilitate individuals’ use of healthcare.

CMS’s Office of Minority Health shared the Coverage to Care initiative and the Roadmap to Behavioral Health to help people understand what behavioral health and substance use services are available. CMS also introduced an initiative to facilitate coverage transitions from Medicaid and CHIP agencies to Marketplaces on the federal platform.

Some requirements have been proposed for Qualified Health Plans, see here for more information. A rule was released that establishes an appeals process regarding inpatient vs outpatient designation for some people with traditional Medicare. Changes were also made to increase the security of the Health Insurance Marketplace.