CMS Rejects Parts of Utah's Medicaid Overhaul

Although CMS generally agrees with Utah's Medicaid shift toward managed care, the governmental organization still rejected parts of the state's Medicaid overhaul project, including higher co-pays and private insurance subsidies, according to a Salt Lake Tribune report.

CMS indicated the higher co-pays would further burden the beneficiaries, although it might consider higher co-pays for families that stand between 150 percent and 250 percent of the federal poverty limit, according to the report.


Rod Betit, CEO of the Utah Hospital Association, said in the report that CMS' partial rejection is "not a deal-breaker" in terms of revamping the state Medicaid program. Still, Mr. Betit said he's "disappointed CMS is being so narrow-minded and trying to protect the old paradigm."

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