States’ and managed care plans’ have the ability to cover services or settings that are substitutes for services or settings covered under the state plan as “in lieu of services and settings” (also …

This policy cheat sheet shares upshots from CMS’ May 2024 final rule that builds on the agency’s prior guidance on using in lieu of services to address health-related social needs.

Dec 20, 2023 · One tool Medicaid MCOs can use—that is not available in other Medicaid delivery systems—is in lieu of services. Medicaid in lieu of services (ILOS) are alternative services that …

Dec 11, 2025 · In Lieu of Services (ILoS) is a mechanism within Medicaid Managed Care that allows health plans to offer non-traditional benefits to enrollees. These services are provided …

Myers and Staufer is providing this client alert to ensure states are aware of several notable provisions specific to the in lieu of services and settings (ILOSs) standards.

Sep 5, 2024 · States and managed care plans have the ability to cover services or settings that are substitutes for services or settings covered under the state plan as “in lieu of services and …

Nov 30, 2024 · Additional Guidance on Use of In Lieu of Services and Settings in Medicaid Managed Care (SMD 23-001)

Jan 4, 2023 · For example, under today’s guidance, states may adopt in lieu of services and settings to offer medically appropriate, cost-effective tailored meals for people with severe, …

May 23, 2024 · Medicaid managed care plans have long covered “In Lieu of Services” (ILOS), which are services that are provided in substitution of traditional Medicaid state plan services. …

ILOS authority, which was formally established by regulation in 2016, allows Medicaid managed care plans to pay for alternative services instead of standard Medicaid benefits without the …