MLTSS Association Submits Comments on Draft 2025-2026 Medicaid Managed Care Rate Development Guide
- Debbie McCarron
- Jul 1
- 1 min read
On June 27th, the MLTSS Association submitted comments in response to the draft 2025-2026 Medicaid Managed Care Rate Development Guide. The rate development guide is issued by CMS annually and is intended for use by states when setting Medicaid managed care rates for rating periods starting between July 1 and June 30 of the following year. The guide provides detail around CMS' expectations of information to be included in actuarial rate certifications and will be used as a basis for CMS’ review. In our letter, the MLTSS Association highlights the noticeable absence of meaningful MLTSS rate setting guidance and emphasizes the need for guidance on the use of functional assessments to ensure actuarially sound MLTSS rates.
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