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HHS/CMS RIN: 0938-AQ54 Publication ID: Fall 2010 
Title: ●Standards for Demonstrating Access to Covered Medicaid Services (CMS-2328-P) 
Abstract: The Medicaid statute requires that state plans provide sufficient procedures and methods to ensure that payment rates for Medicaid services are sufficient to enlist qualified providers to ensure that care and services are available to Medicaid beneficiaries at least to the extent that care and services are available to the general public in the same geographic area. This proposed rule seeks to clarify the definition of access to care and services and provide standard data elements and measures that states must submit to CMS to demonstrate that payment rates are sufficient to provide access to covered Medicaid services. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 447   
Legal Authority: 42 USC 1396 to 1396v    1902(a)(30)(A) of the Social Security Act   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  04/00/2011    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: No  Federalism: Yes 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Jeremy Silanskis
Director, Division of Reimbursement and State Financing
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: S3-14-28, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1592
Email: jeremy.silanskis@cms.hhs.gov