- State Health Official Letter, May 17, 2013. This letter describes five specific targeted enrollment strategies and provides guidance for states interested in adopting them.
- Federal Register, 78: 28551-28569, May 15, 2013. The Affordable Care Act requires reductions to state Medicaid Disproportionate Share Hospital (DSH) allotments annually. This proposed rule delineates a methodology to implement the annual reductions for FY 2014 and FY 2015.
- Model application forms for enrollment in the Exchanges, April 30, 2013.
- Federal Register, 78: 19918-19947, April 2, 2013. This final rule implements and interprets the increased FMAP rates that will be applicable beginning January 1, 2014 and sets forth conditions for states to claim these increased FMAP rates.
- Federal Register, 78: 6109-6111, January 29, 2013. The notice seeks comment on the single, streamlined model application.
- Request for information, January 24, 2013. This solicitation seeks public input to aid in the development of an initial set of business process performance indicators for all state Medicaid and Children’s Health Insurance Program (CHIP) programs.
- Federal Register, 78: 4594-4724, January 22, 2013. The proposed rule seeks comment on sections of the ACA related to Medicaid and CHIP eligibility, cost-sharing, and enrollment.
- State Health Official Letter, December 28, 2012. This letter informs states about the conversion of current net income eligibility thresholds to equivalent modified adjusted gross income (MAGI) thresholds in Medicaid and CHIP, the conversion methodology and process, and the timeframes for executing the conversions.
- FAQs on Exchanges, Market Reforms and Medicaid, December 10, 2012. These FAQs clarify questions about federal match dollars for the Medicaid expansion
- Medicaid/CHIP Affordable Care Act Implementation: Answers to Frequently Asked Questions, November 19, 2012. This FAQ clarifies states’ obligations with respect to upgrading their Medicaid/CHIP eligibility and enrollment system as required under the Affordable Care Act.
- Federal Register, 77: 59409-59410, September 27, 2012. The proposed rule seeks comment on data collection for the application to register for permanent residence and has implications for Medicaid due to the public charge questions.
- Federal Register, 77: 40061-40063, June 28, 2012. This notice and accompanying appendices describe the data elements for the single, streamline application.
- Guidance on the conversion of net income standard to equivalent modified adjusted gross income standards and solicitation of public input
- Federal Register, 77: 17144-17217, March 16, 2012. This final rule implements sections of the ACA related to Medicaid and CHIP eligibility, enrollment simplification, and coordination.
• CCF Comments on Interim Final Provisions of the Medicaid Rule
• Children’s Health Group Comments on Final Medicaid and Exchange Rules
- Federal Register, 76: 51148-5199, August 12, 2011. The proposed rule implements sections of the ACA related to Medicaid and CHIP eligibility, enrollment simplification, and coordination.
• CCF Comments on Proposed Medicaid and CHIP Eligibility Regulations
• CCF addendum on immigrant and mixed status families by Dinah Wiley
- Guidance for Exchange and Medicaid Information Technology (IT) Systems 2.0, May 31, 2011. This guidance is designed to help states achieve interoperability between information technology (IT) components in the federal and state entities that work together to provide health insurance coverage through the Exchange, Medicaid or CHIP programs.
- Federal Register, 76: 21950-21975, April 19, 2011. This final rule revises the Medicaid regulations for Mechanized Claims Processing and Information Retrieval Systems. It also provides for an enhanced federal matching rate for the development of such systems.
- State Health Official Letter, April 4, 2011. This letter provides initial guidance regarding the new option to receive federal matching funds for coverage of children of state employees through CHIP.
- State Medicaid Director Letter, May 19, 2011. This letter provides further more detailed guidance on the State expenditures related to the development and sustaining of health information exchanges that may be eligible for the 90% match.
- State Medicaid Director Letter, February 25, 2011. This letter provides guidance on the “maintenance of effort” (MOE) provisions.
- HHS Letter to States on Maintenance-of-Effort Requirements, February 3, 2011
- Federal Register, 76: 5862-5971, February 2, 2011. This proposed rule would implement provisions of the ACA that deal with allegations of fraud in Medicaid, CHIP, and Medicare.
• CMS FAQs
- Federal Register, 75: 56946-56961, November 16, 2010. This proposed rule would promote greater transparency in the review and approval of Section 1115 demonstration waivers.
- Guidance for Exchange and Medicaid Information Technology (IT) Systems, November 3, 2010. The purpose of this document is to assist states as they design, develop, implement, and operate technology and systems projects in support of the Affordable Care Act relating to the establishment and operation of Exchanges, as well as coverage expansions.
- State Medicaid Director Letter, October 1, 2010. This letter provides guidance on section 6411 of the Affordable Care Act, Expansion of the Recovery Audit Contractor (RAC) Program.
- State Health Official/State Medicaid Director Letter, October 1, 2010. This letter provides guidance on the changes CMS is making in the State plan amendment (SPA) review process.
- State Health Official/State Medicaid Director Letter, September 28, 2010. This letter provides guidance on sections 2501 and 2502 of the ACA, which pertain to Medicaid prescription drug rebates, rebates for Medicaid managed care organization drugs, and the excluded drug provisions in Medicaid.
- State Health Official/State Medicaid Director Letter, September 9, 2010. This letter provides guidance on section 2302 of the ACA, which removes the prohibition on receiving curative treatment after the election of hospice benefits in Medicaid and CHIP.
- Federal Register, 75: 24470-24482, May 5, 2010. This interim final rule adopts the categories of information that will be collected and displayed as Web portal content, and the data we will require from issuers and request from States, associations, and high risk pools in order to create this content.
• CCF Comments on the Web Portal Requirements
- State Health Official/State Medicaid Director Letter, April 22, 2010. This letter provides information on section 2501 of ACA and section 1206 of the reconciliation bill concerning the Medicaid prescription drug rebates.
- State Health Official/State Medicaid Director Letter, April 9, 2010. This letter provides guidance on section 2001 of the ACA, which establishes the option for states to begin providing Medicaid to the lowest income adults, without regard to categorical limitations, as of April 1, 2010.
