February 1, 2020
Seema Verma
Administrator
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Attention: CMS-2393-P, Mail Stop C4-26-05
7500 Security Boulevard
Baltimore, MD 21244-1850
Re: Medicaid Fiscal Accountability Regulation, CMS-2393-P
Dear Administrator Verma:
The undersigned state medical associations and national medical specialty societies represent hundreds
of thousands of physicians who treat our nation’s Medicaid patients every day. Our organizations are
writing to comment on the Medicaid Fiscal Accountability regulation recently issued by the Centers for
Medicare and Medicaid Services (CMS). Overall, we are committed to working with the Administration
to improve fiscal accountability and transparency in the Medicaid program.
However, our organizations are concerned that the proposed rule would significantly reduce the federal
commitment to the Medicaid program, physicians, and our patients without appropriate data and a
thorough impact analysis. We respectfully ask that the agency collect data on the current state funding
mechanisms and how the dollars are actually spent in each state, to make more informed policy
decisions before CMS overhauls the Medicaid financing structure.
We strongly urge CMS to withdraw the proposed rule and work with states, physicians, and patients
on alternatives that will ensure not only efficient use of taxpayer dollars, but also protect patient
access to Medicaid services
Read full letter here
