Implementing the 2024 Managed Care Final Rule? Download Our State Implementation Roadmap

Access and Managed Care Final RulesPolicy Analysis and Development

Mar 23

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The Centers for Medicare & Medicaid Services’ 2024 Managed Care Final Rule (MCFR) represents a significant modernization of Medicaid and CHIP managed care oversight.

The Centers for Medicare & Medicaid Services’ 2024 Managed Care Final Rule (MCFR) marks a major shift in Medicaid and CHIP managed care oversight. The rule strengthens expectations around access to care, payment transparency, and quality—requiring states to implement new systems, standards, and processes to evaluate performance across managed care plans, long-term services and support, and Home- and Community-Based Services.

For states, MCFR implementation is both a compliance challenge and strategic opportunity. New requirements demand cross-agency coordination, upgraded data and analytics capacity, and sustained monitoring over time. A state’s success in implementing the MCFR depends on clear sequencing, strong project management, and alignment across policy, operations, and quality teams.

To help states translate federal requirements into workable, statewide systems, Aurrera Health Group developed an MCFR Roadmap. This resource outlines what’s changing under the rule, the operational implications for states, and the core capabilities needed to support effective implementation.

For states looking to strengthen managed care oversight while meeting MCFR requirements, Aurrera Health Group offers hands-on support across readiness assessments, implementation planning, and ongoing performance monitoring.

Click here to download the MCFR Roadmap.