CMS Issues Final Rule on Medicaid and CHIP Eligibility AppealsImage Banner

CMS Issues Final Rule on Medicaid and CHIP Eligibility Appeals

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CMS Issues Final Rule on Medicaid and CHIP Eligibility Appeals

December 5, 2016

On November 30, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes finalized Medicaid and the Children’s Health Insurance Program (CHIP) provisions associated with the eligibility changes under the Affordable Care Act of 2010 and previous legislation. The final rule supports modernization of notices and appeals processes and the coordination of eligibility notices and appeals across insurance affordability programs. Other provisions complement the simplification of eligibility and enrollment and the shift to MAGI-based financial methodologies codified in the final rule published in March 2012, including coverage for former foster care youth, optional eligibility pathways, and financial methodologies for medically needy individuals, and verification of citizenship and immigration status.