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HHS/CMS RIN: 0938-AU20 Publication ID: Spring 2020 
Title: Medicaid Eligibility Determination and Mechanized Claims Processing and Retrieval Systems (CMS-2433) 

This proposed rule focuses on the enhanced federal financial participation (FFP) match for Medicaid mechanized claims processing and information retrieval systems required under SSA 1903(a)(3)(A)(i) and (B). The rule would reduce the enhanced match for eligibility workers (previously defined in 80 FR 75817, 75820 Dec. 4, 2015). This rule would remove certain eligibility determination costs, specifically for eligibility workers, from the definition of operations and maintenance for eligibility systems. Additionally, it proposes modifications for the standards and conditions for state systems and would incorporate more outcomes-based requirements.

Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: Undetermined 
EO 13771 Designation: Other 
CFR Citation: 42 CFR 433    45 CFR 95   
Legal Authority: 42 U.S.C. 1396b   
Legal Deadline:  None
Action Date FR Cite
NPRM  09/00/2020 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: Undetermined 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Related RINs: Related to 0938-AS53 
Agency Contact:
Nicolas Aretakis
Deputy Director, Division of State Systems
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: S2-22-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:303 844-7117