DEPARTMENT OF HEALTH AND SOCIAL SERVICES
Division of Medicaid and Medical Assistance
GENERAL NOTICE
Access to Care Monitoring Review Plan (AMRP)
In accordance with the public notice requirements of 42 CFR 447.203(b) and Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical Assistance (DMMA) gives notice related to the state's plan to comply with new federal regulations requiring states to develop an Access to Care Monitoring Review Plan (AMRP).
Purpose
The purpose of this posting is to provide public notice and receive public input for consideration regarding DMMA's Proposed Access to Care Monitoring Review Plan (AMRP).
Overview
The Centers for Medicare and Medicaid Services (CMS) published regulations in the Federal Register (42 CFR 447.203 & 42 CFR 447.204) on November 2, 2015, effective January 4, 2016, that requires states to review data and trends so as to evaluate access to care for covered services. It also requires states to obtain public input on the adequacy of access to covered services in the Medicaid program to the extent that such care and services are available to the general population in the geographic area as required by section 1902(a)(30)(A) of the Social Security Act (the Act). The final rule requires states to develop an Access to Care Monitoring Review Plan (AMRP) in which states are to design appropriate approaches to demonstrate and monitor access to care, which reflects unique and evolving state service delivery models and service rate structures.
For additional information about the CMS Medicaid Program; Methods for Assuring Access to Covered Medicaid Services final rule, use the following link to the Federal Register of Regulations website:
https://www.federalregister.gov/articles/2015/11/02/2015-27697/medicaid-program-methods-for-assuring-access-to-covered-medicaid-services#h-8
Proposed Access to Care Monitoring Review Plan (AMRP)
On August 1, 2016, DMMA's proposed AMRP was posted on the DMMA website: http://dhss.delaware.gov/dhss/dmma/. In addition, public notice was published in both the Delaware State News and News Journal on August 11. Delaware will be submitting its AMRP to CMS by September 30, 2016.
Hard copies are available by contacting Glyne Williams at DMMA_PublicHearing@state.de.us. Hard copies are also available for review at the Division of Medicaid and Medical Assistance, 1901 North DuPont Highway, Holloway Campus, Lewis Building, Conference Room 198, New Castle, Delaware 19720 from 8:00 a.m. - 4:30 p.m.
Public Comment Submission Process
As required by 42 CFR 447.203(b), DHSS/DMMA must provide, at a minimum, a thirty-day public notice and comment period. The public is invited to review and comment on the State's proposed AMRP. Comments must be received by 4:30 p.m. on September 12, 2016. Comments and input regarding the proposed plan may be submitted in the following ways:
By email: DMMA_PublicHearing@state.de.us
By fax: 302-255-4481 to the attention of Glyne Williams
By written comments sent to:
Access to Care Monitoring Review Plan (AMRP)
Division of Medicaid and Medical Assistance
Planning, Policy & Quality Unit
1901 North DuPont Highway
P.O. Box 906
New Castle, Delaware 19720-0906
Please identify in the subject line: Delaware Medicaid and Medical Assistance (DMMA) Proposed Access to Care Monitoring Review Plan (AMRP).
The state will post a summary of public comments and our responses, and the final updated AMRP with any modifications after the receipt of public comments on the DMMA website: http://dhss.delaware.gov/dhss/dmma/.
Stephen M. Groff, Director
Division of Medicaid and Medical Assistance
8/12/16
