I'm not sure what the point of using the MMCSS would be in a managed application. After all, the point of the MMCSS is to adjust the scheduling priority of the process to avoid stalls during multimedia stream processing - we're talking nanosecond level scheduling. But with a managed language where a garbage collection can happen at any time and potentially take tens or even hundreds of milliseconds, then I'm not sure what benefit the MMCSS would provide that wouldn't be totally wiped out by garbage collection.
With that in mind, I wouldn't expect to see a managed interface to the MMCSS any time soon. You can certainly access it via P/Invoke, but I wouldn't expect miracles from it :)