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HHS/CMS RIN: 0938-AV26 Publication ID: Fall 2023 
Title: ●CMS Enforcement of State Compliance With Reporting and Federal Medicaid Renewal Requirements Under Section 1902(tt) of the Social Security Act (CMS-2447) 

This interim final rule with request for comments (IFC) implements reporting requirements and enforcement authorities in the Social Security Act (the Act), added by the Consolidated Appropriations Act, 2023 (CAA, 2023).

Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: First time published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 402    42 CFR 430    42 CFR 435   
Legal Authority: Pub. L. 117-328, sec 5131(b)    42 U.S.C. 1396a(tt)   
Legal Deadline:
Action Source Description Date
Final  Statutory  Statute provides limited enforcement authority for State violations of reporting or redetermination requirements between April 1, 2023 and June 30, 2024.  06/30/2024 
Action Date FR Cite
Interim Final Rule  11/00/2023 
Regulatory Flexibility Analysis Required: No  Government Levels Affected: Federal, State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Abigail Kahn
Special Assistant
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Center for Medicaid and CHIP Services, MS: S2-01-16, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-4321