Medicaid: Legislation, Regulation and Guidance

In This Report:

Comments

2016

CCF comments on CMS-2390-F, “Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions Related to Third Party Liability, published May 6, 2016.

2015

CCF comment on CMS–2328–NC, “Medicaid Program; Request for Information (RFI) – Data Metrics and Alternative Processes for Access to Care in the Medicaid Program,” submitted December 24, 2015.

CCF comment on CMS–2328–FC, “Medicaid Program; Methods for Assuring Access to Covered Services,” submitted to CMS December 24, 2015.

CCF comment regarding Medicaid Services “Received Through” an Indian Health Service/Tribal (IHS) facility, submitted November 16, 2015.

CCF comments on Federal Register 80: 31098-31297. Medicaid and Children’s Health Insurance Program (CHIP) Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, Medicaid and CHIP Comprehensive Quality Strategies, and Revisions Related to Third Party Liability; Proposed Rules, published June 1, 2015.

CCF comments on Proposed Rule 80 Federal Register 20455, published April 16, 2015. This proposed rule permanently extends an enhanced federal match of 90% to finance qualifying state eligibility and enrollment systems for Medicaid and CHIP.

CCF comments on Proposed Rule 80 Federal Register 19417, April 10, 2015. This rule pertains to the application of Mental Health Parity Requirements to Coverage offered by Medicaid Managed Care Organizations and Children’s Health Insurance Programs.

2013

CCF comments on Federal Register 78: 62325-62326, October 26, 2013. This is an opportunity for the public to comment on CMS’ intention to collect information from the public.

CCF comments on Federal Register, 78: 42160-42322, July 5, 2013. The final rule seeks addresses sections of the ACA related to Medicaid and CHIP eligibility, cost-sharing, and enrollment.

CCF comments on Federal Register, 78: 6109-6111, January 29, 2013. The notice seeks comment on the single, streamlined model application.

CCF comments on 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.

CCF comments on 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.

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.

2012

CCF comments on 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.

CCF comments on Federal Register, 77: 40061-40063, June 28, 2012. This notice and accompanying appendices describe the data elements for the single, streamline application.

CCF comments on Interim Final Provisions of the Medicaid Rule

Children’s Health Group Comments on Final Medicaid and Exchange Rules

2011

CCF comments on 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.

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.

Comments on the proposed federal regulations on federal funding for Medicaid eligibility and enrollment activities

2010

CCF comments on 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.

HHS Letter to States on Federal Support and Standards for Medicaid and Exchange Information Technology Systems

CCF comments on 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.

State Letters

2013

  • Transitioning Low-Income Children from a Separate Children’s Health Insurance Program (CHIP) to Medicaid, October 18, 2013.
  • State Medicaid Director letter, September 16, 2013. The purpose of this letter is to update on reporting instructions for September Baseline Data Submission and Instructions for Account Creation for Web-Based Fillable Form for Initial Data Submission Beginning in October.
  • State Medicaid Director Letter, August 23, 2013. The purpose of this letter is to update you on ongoing efforts to work with states to improve Medicaid and Children’s Health Insurance Program (CHIP) data and data analytic capacity through the Medicaid and CHIP Business Information Solutions (MACBIS) initiative.
  • State Health Official Letter, August 15, 2013. This letter describes Payment Error Rate Measurement (PERM) Eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and development of an interim approach for assessing payment error for eligibility.
  • State Health Official Letter, May 17, 2013. This letter describes five specific targeted enrollment strategies and provides guidance for states interested in adopting them.

2011

  • 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.

CMS Press Release

2010

FAQs

Guidance

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