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HHS/CMS

RIN: 0938-AO50

Publication ID: Spring 2009

Title: Targeted Case Management (CMS-2237-F)
Abstract: This final rule revises current Medicaid regulations to incorporate changes made by section 6052 of the Deficit Reduction Act of 2005. In addition, it incorporates provisions of the Consolidated Omnibus Budget Reconciliation Act of 1985, the Omnibus Budget Reconciliation Act of 1986, the Tax Reform Act of 1986, the Omnibus Budget Reconciliation Act of 1987, and the Technical and Miscellaneous Revenue Act of 1988, concerning case management and targeted case management services. This final rule will provide for optional coverage of case management services or targeted case management services furnished according to section 1905(a)(19) and section 1915(g) of the Social Security Act. This final rule clarifies what Medicaid will pay for case management activities, when payment will not be consistent with proper and efficient operation of the Medicaid program, and when payment is not available.
Agency: Department of Health and Human Services(HHS)	Priority: Economically Significant
RIN Status: Previously published in the Unified Agenda	Agenda Stage of Rulemaking: Long-Term Actions
Major: Yes	Unfunded Mandates: No
CFR Citation: 42 CFR 431, 42 CFR 440 to 441 (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: Deficit Reduction Act of 2005 PL 109-171, sec 6052

Legal Deadline:

Action	Source	Description	Date
Final	Statutory		01/01/2006

Overall Description of Deadline: Public Law 110-28 established a 1-year moratorium on rule until May 25, 2008. Public Law 110-252 extends the moratorium to March 31, 2009. Public Law 111-5 extends moratorium to June 30, 2009.

Timetable:

Action	Date	FR Cite
Final Action	12/04/2007	72 FR 68077
Interim Final Rule	To Be Determined

Regulatory Flexibility Analysis Required: Undetermined	Government Levels Affected: None
Small Entities Affected: Governmental Jurisdictions	Federalism: No
Included in the Regulatory Plan: No
RIN Data Printed in the FR: No
Agency Contact: Jean Close Health Insurance Specialist Department of Health and Human Services Centers for Medicare & Medicaid Services Mail Stop S2-14-26, 7500 Security Boulevard, Baltimore, MD 21244 Phone:410 786-2804 Email: jean.close@cms.hhs.gov