CMS: Medicaid Program; Streamlining the Medicaid, Children's Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes

Federal Register

Apr 2, 2024

Notice of final rule from the Centers for Medicare & Medicaid Services (CMS) making changes to simplify the eligibility and enrollment processes in Medicaid, the Children's Health Insurance Program (CHIP), and the Basic Health Program. This rule aligns enrollment and renewal requirements for most individuals in Medicaid; creates timeliness requirements for redeterminations of eligibility; makes transitions between programs easier; eliminates access barriers for children enrolled in CHIP by prohibiting premium lock-out periods, benefit limitations, and waiting periods; and modernizes recordkeeping requirements to ensure proper documentation of eligibility determinations. These regulations are effective June 3, 2024.

Benefit enrollment and application · Children and youth · Health insurance · Legislation and regulations · Medicaid