United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2023_register executive 2023-09-21 article Part II Rules and Regulations D09002ee1c79929ac D09002ee1c7992b01 United States Department of Health and Human Services originator org United States Government Agency or Subagency United States Centers for Medicare & Medicaid Services originator org United States Government Agency or Subagency This final rule simplifies processes for eligible individuals to enroll and retain eligibility in the Medicare Savings Programs (MSPs). This final rule better aligns enrollment into the MSPs with requirements and processes for other public programs. Finally, this final rule reduces the complexity of applications and reenrollment for eligible individuals. 88 FR 65230 https://www.govinfo.gov/app/details/FR-2023-09-21/2023-20382 2023-20382 fr21se23-11 RIN 0938-AU00 4120-01-P CMS-2421-F https://www.govinfo.gov/app/details/FR-2023-09-21/2023-20382 https://www.govinfo.gov/content/pkg/FR-2023-09-21/html/2023-20382.htm https://www.govinfo.gov/content/pkg/FR-2023-09-21/pdf/2023-20382.pdf Diseases Health Facilities Medicare Aid to Families with Dependent Children Grant Programs-Health Medicaid Reporting and Recordkeeping Requirements Supplemental Security Income (Ssi) Wages 42 p. 65230 65271 88 FR 65230 Title 42 Part 406 42 CFR Part 406 Title 42 Part 435 42 CFR Part 435 RIN 0938-AU00 Streamlining Medicaid; Medicare Savings Program Eligibility Determination and Enrollment; Federal Register Vol. 88, Issue RULE 2023-20382 II DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 2023-11-17 CMS-2421-F 4120-01-P 2023-20382 Final rule.

This final rule simplifies processes for eligible individuals to enroll and retain eligibility in the Medicare Savings Programs (MSPs). This final rule better aligns enrollment into the MSPs with requirements and processes for other public programs. Finally, this final rule reduces the complexity of applications and reenrollment for eligible individuals.

These regulations are effective November 17, 2023. Throughout, however, we identify separate compliance dates that vary by provision, thereby giving States additional time to implement the provisions of this final rule. Kim Glaun, (410) 786-3849, kim.glaun@cms.hhs.gov, or Melissa Heitt, (410) 786-2484, melissa.heitt@cms.hhs.gov. Diseases Health Facilities Medicare Aid to Families with Dependent Children Grant Programs-Health Medicaid Reporting and Recordkeeping Requirements Supplemental Security Income (Ssi) Wages Streamlining Medicaid; Medicare Savings Program Eligibility Determination and Enrollment, kim.glaun@cms.hhs.gov melissa.heitt@cms.hhs.gov http://policynet.ba.ssa.gov/poms.nsf/lnx/0600801140 http://policynet.ba.ssa.gov/poms.nsf/lnx/0601001230 http://www.bls.gov/oes/current/oes_nat.htm https://aspe.hhs.gov/basic-report/loss-medicare-medicaid-dual-eligible-status-frequency-contributing-factors-and-implications https://aspe.hhs.gov/sites/default/files/migrated_legacy_files//176806/VOT.pdf https://aspe.hhs.gov/system/files/pdf/261716/DualLoss.pdf https://fred.stlouisfed.org/series/LEU0252881500A https://nyaspubs.onlinelibrary.wiley.com/doi/pdfdirect/10.1196/annals.1425.007 https://www.census.gov/content/dam/Census/library/publications/2021/demo/p70br-171.pdf https://www.cms.gov/files/document/2022-medicare-trustees-report.pdf https://www.cms.gov/files/document/chapter-1-program-overview-and-policy.pdf https://www.cms.gov/files/document/chapter-2-data-exchange-processes.pdf https://www.cms.gov/files/document/navigating-medicare-savings-program-msp-eligibility-experience-journey-map.pdf https://www.cms.gov/files/document/navigatingmedicare-savings-program-msp-eligibilityexperience-journey-map.pdf https://www.cms.gov/Medicare/Eligibility-and-Enrollment/LowIncSubMedicarePresCov/downloads/StateLISGuidance021009.pdf https://www.federalregister.gov/documents/2012/03/23/2012-6560/medicaid-program-eligiblity-changes-under-the-affordable-care-act-of-2010 https://www.federalregister.gov/documents/2013/07/15/2013-16271/medicaid-and-childrens-health-insurance-programs-essential-health-benefits-in-alternative-benefit https://www.federalregister.gov/documents/2016/11/30/2016-27844/medicaid-and-childrens-health-insurance-programs-eligibility-notices-fair-hearing-and-appeal https://www.gao.gov/assets/gao-12-871.pdf https://www.healthaffairs.org/doi/epdf/10.1377/hlthaff.2021.01742 https://www.integratedcareresourcecenter.com/sites/default/files/Assessing%20the%20Fiscal%20Viability%20of%20a%20Medicare%20Part%20A%20Buy-in%20Agreement%20in%20Group%20Payer%20States.pdf https://www.kff.org/medicare/issue-brief/a-snapshot-of-sources-of-coverage-among-medicare-beneficiaries-in-2018/ https://www.macpac.gov/publication/chapter-3-improving-participation-in-the-medicare-savings-programs/ https://www.macpac.gov/wp-content/uploads/2017/08/MSP-Enrollees-and-Eligible-Non-Enrollees.pdf https://www.medicaid.gov/federal-policy-guidance/downloads/cib11012021.pdf https://www.medicaid.gov/federal-policy-guidance/downloads/smd10003.pdf https://www.medicaid.gov/sites/default/files/2019-12/medicaid-eligibilty-memo.pdf https://www.medicarerights.org/pdf/Part-A-Buy-In-Analysis.pdf https://www.ssa.gov/dataexchange/documents/LIS%20record.pdf https://www.ssa.gov/forms/ssa-1020-ocr-sm-inst.pdf https://www.ssa.gov/open/data/Data-about-Extra-Help-with-Medicare-Prescription-Drug-Plan-Cost.html https://www.urban.org/sites/default/files/publication/100528/a_unified_cost-sharing_design_for_medicare_effects_on_beneficiary_an_1.pdf https://www.whitehouse.gov/briefing-room/presidential-actions/2021/01/20/executive-order-advancing-racial-equity-and-support-for-underserved-communities-through-the-federal-government/ https://www.whitehouse.gov/briefing-room/presidential-actions/2021/01/28/executive-order-on-strengthening-medicaid-and-the-affordable-care-act/ https://www.whitehouse.gov/briefing-room/presidential-actions/2021/12/13/executive-order-on-transforming-federal-customer-experience-and-service-delivery-to-rebuild-trust-in-government/ https://www.whitehouse.gov/briefing-room/presidential-actions/2022/04/05/executive-order-on-continuing-to-strengthen-americans-access-to-affordable-quality-health-coverage/ https://www.whitehouse.gov/wp-content/uploads/legacy_drupal_files/omb/circulars/A4/a-4.pdf Vol. 88, no. 182 Office of the Federal Register, National Archives and Records Administration 2023-09-21 continuing daily deposited born digital 203 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2023-09-21 P0b002ee1c0ed438e 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr21se23 https://www.govinfo.gov/app/details/FR-2023-09-21 https://www.govinfo.gov/content/pkg/FR-2023-09-21/pdf/FR-2023-09-21.pdf https://www.govinfo.gov/content/pkg/FR-2023-09-21/xml/FR-2023-09-21.xml fdlp 65109 65304 DGPO 2023-09-21 2024-05-28 FR-2023-09-21 machine generated eng FR FR-2023-09-21 88 182