Health Centers to Help Uninsured Individuals Gain Affordable Health Insurance Coverage

The U.S. Department of Health and Human Services released an announcement today signaling $150 million would be made available to health centers across the nation to enrollment assistance. Health and Human Services Secretary Kathleen Sebelius today announced new funding to help more uninsured Americans enroll in new health insurance coverage options made available by the Affordable Care Act. ...

45 CFR Part 95.507: Federal Cost Allocation Plan Requirements

Federal provision relating to cost allocation plan requirements for the general administration of grant programs (public assistance, medical assistance, and state children's health insurance programs). CFR-2011-45-CFR-95.507.pdf

42 CFR Part 440.170: Transportation Services

Federal regulation dictating eligible transportation services under the larger umbrella of state-federal medical assistance programs, "Any other medical care or remedial care recognized under State law and specified by the Secretary." CFR-2011-title42-vol4-sec440-170.pdf

CMS 9989-P: Establishment of Exchanges and Qualified Health Plans, ACA

This proposed federal rule would implement the new Affordable Insurance Exchanges, as part of the Affordable Care Act (ACA, 'Health Reform'), which will become operational by January 1, 2014. The commenting period for this regulation is open through October 31, 2011. Read CMS 9989-P...

42 CFR Parts 405, 424, 447, 455, 457 and 498 (CMS 6028-FC): Medicaid Integrity

A final rule regulating additional screening requirements, application fees, temporary enrollment moratoria, payment suspensions and compliance plans for providers and suppliers participating in the Medicare, Medicaid, and Children's Health Insurance programs. This regulation implements parts of the Affordable Care Act (ACA, 'Health Reform'). Read Final Rule CMS 6028 FC...

42 CFR 433, Sections 135-140

Code of federal regulation related to third party liability, 42 CFR Part 443, Subpart D - Third Party Liability; Pertinent citations: 42 CFR 433.136, 42 CFR 433.138, and 42 CFR 433.139(b)(1). Read CFR-2010-title42-vol4-part433-subpartD...

42 CFR 433 – State Fiscal Administration of Medical Assistance Programs

Code of federal regulation related to state fiscal administration of medical assistance programs under the federal Centers for Medicare and Medicaid Services (CMS) and the U.S. Department of Health and Human Services (DHHS). Read CFR-2010-title42-vol4-part433.pdf

CMS 2287-F2: Rescission of Final Rule

This final rule rescinds the December 28, 2007 final rule, CMS 2287-F: "Elimination of Reimbursement under Medicaid for School Administration Expenditures and Costs Related to Transportation of School-Age Children Between Home and School,'' which sought unsuccessfully to end administrative claiming and billing for related transportation services under the MAA and LEA Billing programs. View CMS...

Department Appeals Board (DAB) Ruling: Oklahoma Health Care Authority and Free Care

DAB A-03-79, Decision No 1924; the DAB "concludes that the [CMS 1997 Technical Assistance] Guide's free care principle is not an interpretation of any provision of the [Social Security] Act nor indeed of any regulation implementing a provision of the Act." in the case of Oklahoma Health Care Authority (Oklahoma) appeal of a disallowance of $1,902,390 in federal financial participation (FFP) for...

California’s Third Party Liability Waiver

In 1997, federal Health and Human Services (HHS) approved a waiver of third-party liability requirements for California's school Medicaid billing program. The waiver was temporary, and was not re-approved when requested again by California's Department of Health Care Services. Download California's 1997 TPL Waiver...