State considerations regarding Medicaid Fiscal Accountability Regulation proposed by CMS

The Medicaid Fiscal Accountability Regulation (MFAR), a proposed rule released in November 2019 by the Centers for Medicare and Medicaid Services, could have significant implications for states and affected parties for both existing and new state Medicaid supplemental payment arrangements. This paper contains a summary of key MFAR proposed changes to supplemental payments that may be relevant to state Medicaid agencies.