View Rule

This final rule revises Medicaid regulations for Federal Funding for Medicaid Eligibility Determination and Enrollment Activities and Mechanized Claims Processing and Information Retrieval Systems. Specifically, this rule modifies our regulations so that the enhanced Federal Financial Participation (FFP) is available, under certain circumstances, for design, development, and installation or enhancement of eligibility determination systems on an on-going basis.  Enhanced FFP will also be available, under certain circumstances, for maintenance and operations of such systems. In addition to lifting the time limit that currently applies to the availability of such funding, we are finalizing changes to the standards and conditions for Medicaid IT in order to access enhanced funding, and new approaches to systems development, acquisition approvals, and formal certification.