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HHS/CMS RIN: 0938-AU00 Publication ID: Fall 2020 
Title: Medicaid and Children's Health Insurance Program (CHIP); Strengthening the Program Integrity of the Medicaid and CHIP Eligibility Determination Process (CMS-2421) 

This rule proposes to implement policies to ensure the integrity of the Medicaid and the Children’s Health Insurance Program (CHIP) eligibility and enrollment process.  Accurate eligibility determinations are critical to ensuring appropriate use of federal and state dollars, as well as proper and efficient administration of the Medicaid and CHIP programs.  With the goal of ensuring that only eligible individuals are enrolled in Medicaid and CHIP and that beneficiaries who remain eligible continue to be enrolled, this rule proposes changes designed to improve the accuracy and consistency of eligibility determinations across all states.

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: No 
EO 13771 Designation: Regulatory 
CFR Citation: 42 CFR 431    42 CFR 435    42 CFR 457   
Legal Authority: 42 U.S.C. 1302   
Legal Deadline:  None
Action Date FR Cite
NPRM  03/00/2021 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Local, State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Sarah Delone
Deputy Director, Children and Adults Health Programs Group
Department of Health and Human Services
Centers for Medicare & Medicaid Services
S2-01-16, Center for Medicaid and CHIP Services, MS: S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-5647