Jim Sharp • July 24, 2026

RCPA Submits Comments on CMS H.R. 1 State-Directed Payments

Author

Jim Sharp

Date

July 24, 2026

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The Rehabilitation & Community Providers Association of Pennsylvania (RCPA), on behalf of our members and stakeholders, has submitted comments to the Centers for Medicare & Medicaid Services (CMS) on the Interim Final Rule addressing the Medicaid Program, Medicaid Managed Care State-Directed Payments (SDP), and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments.


The RCPA comments on the CMS Medicaid Managed Care State-Directed Payments and Medicaid Fee-for-Service Targeted Medicaid Practitioner Payments reflect the position of our membership, whose visions, missions, and operational footprints will be deeply impacted by the implementation of this and several of the proposed changes as a result of the H.R. 1 bill.



The rule was anticipated to limit state-directed payments for four core services (inpatient hospital services, outpatient hospital services, nursing facility services, and qualified practitioner services at an academic medical center) to Medicare (or 110% of Medicare for non-expansion states) as required under section 71116 of H.R. 1. However, RCPA interprets the rule to have deeper impacts beyond H.R. 1.


Read the full comment letter to CMS.


If you have additional questions, please contact RCPA COO Jim Sharp.

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