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HHS/CMS RIN: 0938-AV70 Publication ID: Spring 2025 
Title: ●Strengthening the Integrity of Medicaid and CHIP Eligibility, Managed Care, Financing and Section 1115 Demonstrations (CMS-2450) 
Abstract:

This proposed rule would update regulations to strengthen the integrity of state enrollment processes, state directed payments and other payment and access requirements. It would also propose new requirements related to establishing Budget Neutrality for section 1115 demonstrations.

 

 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
EO 14192 Designation: Regulatory 
CFR Citation: Not Yet Determined     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: 42 U.S.C. 1302    42 U.S.C. 1301    42 U.S.C. 1397aa   
Legal Deadline:  None
Timetable:
Action Date FR Cite
NPRM  10/00/2025 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, State 
Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Kristen Stokely
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: S2-26-12, 7500 Security Blvd,
Baltimore, MD 21244
Phone:410 786-7941
Email: kristen.rodgers1@cms.hhs.gov