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HHS/CMS RIN: 0938-AU73 Publication ID: Spring 2022 
Title: Reassignment of Medicaid Provider Claims (CMS-2444) 
Abstract:

This final rule reinterprets statutory language to allow states to make Medicaid payments to a third party on behalf of an individual Medicaid practitioner for benefits such as health insurance, skills training, and other benefits customary for employees, if the practitioner has consented to such payments.  This final rule is in response to a 2020 court ruling that vacated a 2019 final rule, which had removed regulatory text allowing a state to make these third-party payments.

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Completed Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 447   
Legal Authority: 42 U.S.C. 1396a    42 U.S.C. 1302   
Legal Deadline:
Action Source Description Date
NPRM  Judicial  Expiration of abeyance of court decision requiring CMS reconsider statutory question.  08/01/2021 
Timetable:
Action Date FR Cite
NPRM  08/03/2021  86 FR 41803   
NPRM Comment Period End  09/28/2021 
Final Action  05/16/2022  87 FR 29675   
Final Action Effective  06/15/2022 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Christopher Thompson
Deputy Director, Division of Reimbursement Policy, Financial Management Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: C4-26-05, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4044
Email: christopher.thompson@cms.hhs.gov