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  • Washington Highlights

    CMS Issues Proposed Rule Addressing Medicaid Eligibility and Enrollment

    Mary Mullaney, Director, Hospital Payment Policies
    For Media Inquiries

    On Aug. 31, the Centers for Medicare & Medicaid Services (CMS) issued a notice of proposed rulemaking to streamline eligibility and enrollment in Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program. The proposed rule seeks to strengthen Medicaid and access to affordable, quality health coverage by making it easier for eligible individuals to enroll in and maintain their Medicaid coverage. Comments are due Nov. 7.

    The proposed rule includes several provisions designed to simplify the Medicaid enrollment process, reduce administrative burden on states and enrollees, and increase enrollment and retention of eligible individuals, including children and individuals eligible for both Medicare and Medicaid. Proposals include streamlining application and enrollment processes, improving retention rates, and removing barriers specific to CHIP enrollment. Additionally, the proposed rule would more clearly define the types of eligibility determination information and documentation states are required to maintain by updating outmoded record-keeping regulations.