RSMUS.comWelcome to the first installment of our weekly series exploring the CMS Access Rule and its impact on Health and Human Services (HHS) agencies. Over the coming weeks, we’ll break down key aspects of the rule, including compliance deadlines, reporting requirements, and strategies for improving service delivery. Our goal is to help agencies navigate these changes with confidence and efficiency.
To complement this series, we’ll also be releasing an on-demand webinar the week of April 28, 2025, offering deeper insights and practical guidance from industry experts. Stay tuned for more details!
Navigating the CMS Access Rule with RSM’s Case Management Accelerator
State and local government agencies face an evolving landscape of complex regulatory requirements, particularly when it comes to Medicaid and health and human services (HHS) programs. The Centers for Medicare & Medicaid Services (CMS) Access Rule introduces critical mandates designed to improve service delivery, beneficiary protections, and transparency. As agencies work to comply with these new requirements, digital transformation becomes essential.
At RSM, we understand these challenges. That’s why we’ve developed the Case Management Accelerator, a Microsoft Dynamics 365-powered platform designed to help agencies streamline case management, enhance collaboration, and ensure compliance with evolving CMS regulations.
Meeting CMS Access Rule Requirements with Microsoft-Powered Solutions
The CMS Access Rule focuses on five priority areas:
- Access – Ensuring that Medicaid beneficiaries receive timely, appropriate care.
- Quality Improvement – Establishing performance benchmarks for personal care, home health aide, and homemaker services.
- Person-Centered Planning – Enhancing individualized service delivery through structured care planning.
- Health & Welfare – Strengthening incident management and reporting systems.
- Beneficiary Protections – Increasing transparency and ensuring robust grievance systems.
RSM’s Case Management Accelerator aligns with these objectives by offering robust features across key functional areas:
Intake & Provider Management
Our platform streamlines customer applications, eligibility determinations, and assessments, ensuring that agencies can efficiently process and track beneficiary needs. Additionally, provider management tools enable seamless credentialing, certification tracking, and employee oversight.
Case & Quality Management
Through features like goal tracking, service delivery coordination, and adverse event reporting, agencies can improve accountability and compliance. Built-in auditing and corrective action planning tools help organizations maintain high-quality service standards.
Comprehensive Reporting & Compliance
With the CMS Access Rule implementing phased reporting requirements from 2025 to 2030—including incident management compliance, payment adequacy metrics, and beneficiary transparency mandates—agencies need an agile solution. Our platform’s advanced reporting capabilities ensure that organizations meet deadlines while maintaining visibility into performance data.
The Road Ahead: Preparing for Compliance
With key milestones approaching, agencies must take proactive steps to modernize their case management processes. RSM’s Case Management Accelerator provides an integrated, Microsoft-powered solution tailored to meet the evolving needs of HHS agencies.
Ready to enhance efficiency, ensure compliance, and deliver person-centered care? Contact us today to learn how RSM can help you navigate the CMS Access Rule with confidence.
