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HHS/CMS RIN: 0938-AS23 Publication ID: Fall 2016 
Title: Post-Eligibility Treatment of Income, Appeal Processes for Medicaid, and Other Provisions Related to Eligibility and Enrollment for Medicaid and CHIP (CMS-2379-P) 

This rule would propose to implement provisions of the statute pertaining to post-eligibility treatment of income for beneficiaries receiving long-term services and support to incorporate provisions of law that have not been previously codified, including application of post-eligibility treatment of income rules to beneficiaries determined eligible on the basis of Modified Adjusted Gross Income (MAGI). The rule would also make technical changes to clarify certain provisions related to Medicaid eligibility, appeals, premiums and cost-sharing, premium assistance, and certain Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) provisions. The rule also would propose to update the regulations providing for Medicaid eligibility, to incorporate changes effective as a result of the Affordable Care Act and the CHIPRA. In addition, the rule proposes changes to provide states more flexibility to coordinate Medicaid and the Children’s Health Insurance Program (CHIP) eligibility notices, appeals, and other related administrative procedures with similar procedures used by other health coverage programs authorized under the Affordable Care Act.

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Undetermined  Unfunded Mandates: Undetermined 
CFR Citation: 42 CFR 431    42 CFR 435    42 CFR 436    42 CFR 440    ...     (To search for a specific CFR, visit the Code of Federal Regulations.)
Legal Authority: Pub. L. 111-148, secs 2404 and 1413    42 U.S.C. 1302   
Legal Deadline:  None
Action Date FR Cite
NPRM  12/00/2016 
Regulatory Flexibility Analysis Required: Undetermined  Government Levels Affected: Federal, Local, State, Tribal 
Small Entities Affected: Businesses, Governmental Jurisdictions, Organizations  Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Judith Cash
Division Director, Division of Eligibility, Enrollment & Outreach
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, Mail Stop S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4473