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WASHINGTON — The Biden administration on Thursday rolled out proposals to set national standards for care in Medicaid and children’s health care plans, amid upheaval for millions of Americans’ coverage in both programs.

A pair of draft rules released by federal health officials Thursday would require Medicaid plans to book enrollees for appointments within two weeks. The rules would also require states to track and report the quality of care patients receive, to share provider payment rates and to oversee these changes through “secret shopper” surveys.


However, while the agency proposed a slew of reporting requirements, the changes did not come with clear penalties or incentives for improving wait time and care.

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