Mercer Shares Report on CMS Proposed Rule for Medicaid Payment Limits

Mercer Government Services recently reported that the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that could significantly affect Medicaid provider payment strategies across both managed care and fee-for-service delivery systems. The proposal would establish Medicare-based payment limits for certain provider payment arrangements, expand documentation and reporting requirements, and introduce new operational considerations for states.

RCPA will continue to monitor the details of this new proposed rule and is preparing to submit comments by July 21, 2026. We welcome RCPA member input and ask you to contact your respective RCPA Policy Director.

If you have any questions regarding the report, please contact Fady Sahhar.