CMS Releases Guidance on Provider Directories, Services for Incarcerated Young People

In July, Centers for Medicare and Medicaid Services (CMS) released two pieces of guidance on provisions in the Consolidated Appropriations Act (CAA) of 2023. The first piece of guidance addresses new requirements around accurate, regularly updated, and searchable provider directories in Medicaid and CHIP. Medicaid agencies and managed care organizations will need to make these changes by July 1, 2025. The second piece of guidance discusses Section 5121 of the CAA, which creates a new requirement to provide screening, diagnostic, and case management services to “eligible juveniles” who are post-adjudication in correctional facilities. Medicaid agencies will also have the option, under Section 5122 of the CAA, to provide full Medicaid and CHIP benefits to incarcerated young people who are pre-adjudication.

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