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HHS/CMS RIN: 0938-AQ53 Publication ID: Spring 2011 
Title: Enhanced Federal Funding for Medicaid Eligibility Determination and Enrollment Activities (CMS-2346-F) 
Abstract: The Affordable Care Act requires States' residents to apply, enroll, receive determinations, and participate in the State health subsidy programs known as "the Exchange". The Affordable Care Act requires many changes to State eligibility and enrollment systems and each State is responsible for developing a secure, electronic interface allowing the exchange of data. Existing legacy eligibility systems are not able to implement the numerous requirements. This rule is key to informing States about the higher rates that CMS will provide to help them update or build legacy eligibility systems that meet the ACA requirements. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 433   
Legal Authority: PL 111-148, sec 1413   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  11/08/2010  75 FR 68583   
NPRM Comment Period End  01/07/2011    
Final Action  06/00/2011    
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: State 
Small Entities Affected: Governmental Jurisdictions  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
Agency Contact:
Richard H. Friedman
Director, Division of State Systems
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Mail Stop S3-18-13, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4451
Email: richard.friedman@cms.hhs.gov