Comment Letter to CMS on Medicaid State-Directed Payments Proposed Rule

Duke-Margolis provided comments on on the Centers for Medicare and Medicaid Services' (CMS) proposed rule on Medicaid state-directed payments. The comment letter highlights the importance of balancing fiscal accountability with continued support for value-based payment innovation, and recommends that CMS maintains pathways for states to implement payment models that reward high-quality, coordinated care and improve health outcomes while advancing program integrity goals.