03/28/2024

CMS Releases Final Rule on Streamlining Medicaid Eligibility Determination Processes

On March 27, the Centers for Medicare & Medicaid Services (CMS) announced its release of the Streamlining Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421-F2) final rule.

This rule is intended to simplify and streamline the eligibility and enrollment processes for underserved populations, including older individuals, and individuals who have a disability and, by doing so, limit coverage disruptions, reduce administrative burden on states and applicants, and increase enrollment and retention of eligible individuals. One key change would be for CMS to track state timeliness in completing Medicaid application processes, hopefully leading to earlier identification and intervention in state backlogs. 

LeadingAge commented on the proposed rule in 2022 and is reviewing the final rule. LeaidngAge will provide additional information in the coming days.