| Recently Released As part of the Administration's efforts to lower prescription drug costs in Medicaid, earlier this week, the Centers for Medicare & Medicaid Services (CMS) issued an Informational Bulletin for states regarding the calculation of Medicaid Managed Care plan's Medical Loss Ratio (MLR), which represents the percent of premium revenue that goes toward claims and activities that improve healthcare quality. CMS is concerned that some managed care plans are not accurately reporting pharmacy benefit spread pricing when they calculate and report MLRs. The bulletin will provide additional clarification and specific examples of the regulatory requirements for determining the amounts that can be included as incurred claims in the MLR, particularly when a Medicaid or CHIP managed care plan uses a third-party vendor in a subcontracted arrangement. In addition, CMS issued two sets of FAQs to help states with implementing various parts of the Medicaid program. In November 2018, CMS issued a letter to State Medicaid Directors on opportunities to design innovative Service Delivery Systems for adults with a Serious Mental Illness or Children with a Serious Emotional Disturbance. This week, we issued a set of FAQs SMI/SED 1115 demonstration opportunities. The technical assistance questions and answers are cover the application, implementation plan, monitoring and evaluation, general terms and 1115 demonstration application processing. The second set of FAQs issued this week provides states with information on implementing section 5042 of the SUPPORT Act that describes the "Medicaid Providers Are Required to Note Experiences in Record Systems to Help In-need Patients Act." Upcoming Trainings and State Webinars Register: System Change vs. Compliance Mindset Approach in Implementing the Settings Rule June 12, 2019 from 1:30-3:00 ET This presentation will identify strategies to integrate the values and principles of the Home and Community-Based Services (HCBS) settings rule into the fabric of a state's HCBS program, will identify some basic tenets of HCBS system change including examples of how states have demonstrated system transformation and will describe how the state can use the Statewide Transition Plan to execute system change. New Editions is currently the training lead through the Home & Community-Based Settings (HCB Settings) Contract overseen by the Division of Long Term Services & Supports (DLTSS). New Editions will present the training and Ralph Lollar, DLTSS Division Director, and the DLTSS Team will support the training and lead the Q&A Session. In addition, representatives from Kentucky, Pennsylvania, Washington and Connecticut will share their experiences in implementing system transformation. | 
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