On January 27, the Centers for Medicare and Medicaid Services (CMS) issued a letter to state health officials noting the upcoming changes states should anticipate as a result of the passage of the Fiscal Year 2023 Consolidated Appropriations Act in December 2022 and the unwinding of certain Medicaid-related provisions from the declaration of the COVID-19 public health emergency (PHE).
The letter explains the key statutory changes, including:
Allowing states to begin to terminate Medicaid enrollment of individuals who no longer meet Medicaid eligibility requirements on or after April 1, regardless of when the PHE is terminated
Winding down the availability of the temporary federal match (FMAP) increase beginning April 1, gradually phasing down the increase until December 31, 2023
Adding new reporting requirements
Creating new enforcement authorities for CMS related to the new reporting requirements