07/23/2026

LeadingAge Comments on Proposed Medicaid State Directed Payment Rule

LeadingAge submitted comments to CMS on its proposed rule governing Medicaid State Directed Payments (CMS-2449-P), urging the agency to align the regulation with the statutory language in H.R. 1 and withdraw provisions that expand beyond congressional intent. The comments also raise concerns that the proposal would create significant administrative burdens for states and providers and could have unintended consequences for PACE reimbursement and provider contracting arrangements. Read LeadingAge’s comments here.