U.S. flag

An official website of the United States government

Frequently Asked Questions

Frequently Asked Questions are used to provide additional information and/or statutory guidance not found in State Medicaid Director Letters, State Health Official Letters, or CMCS Informational Bulletins. The different sets of FAQs as originally released can be accessed below.

Showing 41 to 42 of 42 results

How should States report expenditures in the CMS-64 for approved enhanced funding for Eligibility & Enrollment Advanced Planning Documents?

Medicaid Budget Expenditure System/Children's Budget Expenditure System (MBES/CBES) has been modified to add new Medicaid Eligibility Determination System lines to the 64.10 Form series beginning with Quarter Ending March 31, 2011:

  • 28A - DDI of Medicaid E&E systems/cost of in house activities - 90% FFP
  • 28B - DDI of Medicaid E&E systems cost of private sector contractors - 90% FFP
  • 28C - Operation of an approved Medicaid E&E system/cost of in-house activities - 75 % FFP
  • 28D - Operation of an approved Medicaid E&E system/cost private sector contractors- 75% FFP

FAQ ID:93361

SHARE URL

Does the 75 percent FFP apply to program integrity activities associated with eligibility and enrollment?

Verification services that are conducted as part of the eligibility determination process or to validate a client's attestation, after an eligibility record has been entered into the system, will be eligible for 75 percent FFP.

Those verifications performed post eligibility and normally initiated as part of a sampling approach, including audits, PERM or MEQC activities would be considered program integrity activity and eligible for the 50 percent FFP.

Supplemental Links:

FAQ ID:93716

SHARE URL
Results per page