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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 11 to 20 of 27 results

What are the differences between the three report options under the "Generate Report" action?

The MACPro State by State Measure by Measure Report provides the number of measures reported for a state in each fiscal year, the number of CHIP and Medicaid population data and programs the state reported on, and specifics on which report included information on which measures.

The MACPro Stratifications in the Core Data Report identifies if a core set measure was reported in a specific report number. You may select which core set measures are included in this report.

The MACPro Measure Reporting Status System Report will allow you to search for the status (complete or incomplete) of reports for a specific quality measure. You can select a specific measure within a specified state and year.

FAQ ID:92976

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How do I delete a draft report?

Go to the Actions tab, then select "Delete Annual Report". Enter in the package ID and search for the report you wish to delete. Only the State Editor and the State Director can perform this function. This action can only be taken prior to CMS Submission. Once the report is submitted, this is no longer an available action.

FAQ ID:92981

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What is the difference between Compare Doc Report and Compare Doc?

Compare Doc Report: After the state has responded to Clarification or RAI, CMS has the ability to see what Reviewable Units have been edited within the submission package.

  • Start by logging in as the CMS Point of Contact or Submission Review Team member. Under the "Records" tab, select "Submission Packages." Select the submission package link and in the left panel, select "Compare Doc Change Report". Reviewable Units that have been edited by the state are indicated by a check mark within a green circle.

Compare Doc: While reviewing a Reviewable Unit, the CMS Point of Contact or the Submission Review Team member has access to a feature that will tell him/her exactly what fields were edited by the state during Clarification or RAI.

  • Start by logging in as the CMS Point of Contact or Submission Review Team member. Select the "Tasks" tab and then select "Review Submission Package". Select a reviewable unit link. Below the Audit Information, select "View Compare Doc". New fields will expand detailing the Field Name, Old Value, Change Type, and New Value for all edits made within the Reviewable Unit by the state. In the Change Type column, different icons will appear to detail the method that was used to edit this particular field.

FAQ ID:92986

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How do I print a submission package?

  1. Select "Records" from the navigation panel at the top of the screen and then select "Submission Packages" for your state.
  2. Select the appropriate Submission Package from the Records list.
  3. Select "Reviewable Units" from the left panel. This will direct you to a screen where you can find a list of all Reviewable Units.
  4. Select a Reviewable Unit. You may then expand each field you would like to print within the Reviewable Unit by scrolling down the page and selecting the +/- button or by selecting the "View All Responses" button in the right corner if available.
  5. To print, use the browser print function. First navigate to the "File" tab. Select "Page Setup".
  6. In the "Page Setup" box, set all "Headers" and all "Footers" to empty using the drop down menus. Please note that this is a one-time step that does not have to be done for subsequent print operations.
  7. Next, use the browser print function by navigating to the "File" tab and then selecting "Print". You may also use the keyboard shortcut Ctrl+P. This will print the reviewable unit data to your printer.

FAQ ID:93001

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How do I create a correspondence log/ How do I update the correspondence log?

The Correspondence Log is the official record for the package. The Correspondence Log can be used as a communication tool, where CMS provides information to the state and the state can respond. Only the SPOC and the CMS Point of Contact can write in the correspondence log, but others may view the correspondence log in a package for reference.

  1. Log in to MACPro as the CMS Point of Contact.
  2. Select the "Records" tab from the upper tool bar, and then select "Submission Packages" for your state.
  3. Next, select your Package ID.
  4. You will be taken to the Summary screen of your package. Select "Related Actions" from the left panel.
  5. Next, select "Create Correspondence Log"
  6. Enter in your information and then select "Create Correspondence Log"
  7. If you should need to add an entry, follow steps 1 through 4 and then select "Add Entry to Correspondence Log".
  8. On the next screen, fill in your entry and then select "Add Entry to Correspondence Log".
  9. You may also add an entry to the correspondence log by selecting "Correspondence Log" from the left panel instead of "Related Actions" shown in Step 4. Please note that this link will only appear after you have created a correspondence log.
  10. Select "Add Entry to Correspondence" in the top right corner.
  11. Fill in your entry information and then select "Add Entry to Correspondence".

FAQ ID:93006

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How do I view approved State Plan Content with current, previous, or future effective dates?

Under the "Records" tab, select "Medicaid State Plan". Next, search for a state using the search feature in the left panel. Select the blue link for your State Plan. On the next screen you will be able to see past, current and future Health Homes Programs.

FAQ ID:92856

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What main functions can my role perform?

Primary Role Definition
CMS Package Disapprover (PD)
  • Disapproves packages
  • This role is for Central Office users
Office of Strategic Operations & Regulatory Affairs (OSORA)
  • Coordinates communication for disapproval process between CMS Offices
  • Informs CMS Point of Contact and CMS Point of Contact Admin of package clearance and documentation completion
CMS Senior Management (SrMGR)
  • Evaluates recommended disposition
  • Reviews recommended disposition of disapproval and disapproval justification
CMS Package Approver (PA)
  • Approves Medicaid SPA Packages
  • Each user with this role can be associated to one Regional Office at a time or to Central Office
CMS Point of Contact Administrator (POC Admin)
  • Oversees the submission package through the CMS senior management review process for recommended disapprovals
  • Tailors disapproval notices
Subject Matter Expert (SME)
  • Provides SME input to Review Team, upon request (offline or as SRT member)
Submission Review Team (SRT)
  • Receives package review assignments
  • Provides section assessments through the Review Tool
  • Reviews and submits notes and comments for Official and Draft Submissions
  • Provides recommendations for RAI, Approval, and Disapproval
CMS Point of Contact (CPOC)
  • Oversees the review of Official and Draft Submissions
  • Maintains the composition of the review team (selects review team members within MACPro)
  • Documents and Reviews correspondence log entries
  • Reviews team feedback within the Review Tool
  • Recommends a disposition for a submission package
  • Requests clarifications and initiates a request for additional information (RAI) from the state
  • Tailors approval notice to the state
  • Sets and manages internal milestones and reminders for SRT and Sr. Managers
  • Oversees the submission package through the CMS senior management review process for recommended approvals
  • CMS users may choose to be CPOCs for specific states within their program and authority
Report Administrator (RA)
  • Views reports and submission packages on behalf of CMS Review Team Administrators (POC Admin)
Subscriber (SUB)
  • Subscribes to specific states of interest
  • CMS users may choose to be subscribers for specific states within a program and authority

FAQ ID:92861

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What does it mean if the State allows CMS to view?

The State has the option to allow CMS to view the information in a submission package prior to submission informally by using the "Allow CMS to View" functionality. The CMS Point of Contact, Submission Review Team, and Subject Matter Expert have the ability to view these submission packages once the state has initiated the function. Please Note: This option will permit the CMS review team to see the screens in this submission package as they appear currently. It does not cause the package to be submitted as Draft or Official, and does not start a CMS review clock. Validation of the screens is not required. States must notify their CMS contact that viewing is available; MACPro does not notify CMS staff. States can deselect this option at any time

To access the submission package, go to the "Records" tab and then select "Submission Packages". Next select the link to the submission package and then in the left panel, select "Reviewable Units". You may then select the blue links to each Reviewable Unit to view the data entered by the state.

FAQ ID:92866

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Under the CMS guidance for funding health information exchange (HIE) activities, what kinds of activities are eligible for 90 percent Federal matching funds (90/10) through HITECH administrative funding?

Within the parameters set by State Medicaid Director (SMD) Letter #11-004 and SMD Letter #10-016, states may request 90/10 HITECH administrative funding for a wide range of HIE activities that support meaningful use.

States may request this funding for two broad categories of their administrative activities related to HIEs: (1) on-boarding, and (2) design, development, and implementation (DDI) of infrastructure. In this context, on-boarding refers to the state's or HIE's activities related to connecting a provider to an HIE so that the provider is able to successfully exchange data and use the HIE's services; this funding cannot cover costs incurred by the provider or the vendor. For more information, please see the later FAQ that specifically discusses on-boarding. With respect to infrastructure DDI, CMS is able to provide matching funds for a variety of state activities that will enable providers who are eligible for the Medicaid EHR Incentive Program to meet meaningful use. If the requirements of SMD Letters #10-016 and #11-004 are met, CMS will provide funding for state administrative activities related to core HIE services (for example, designing and developing a provider directory, privacy and security applications, and/or data warehouses), public health infrastructure, and electronic Clinical Quality Measurement (eCQM) infrastructure.

CMS recognizes that there are multiple types of HIE models emerging among the states, and will review each proposal individually. SMD Letter #11-004 outlines some of the characteristics that CMS encourages, but a state may provide justification for why an alternate model is more appropriate given the unique circumstances in that state. CMS encourages interested states to reach out to their CMS regional HITECH contacts to discuss any proposed HIE funding requests prior to submitting an Implementation Advance Planning Document Update (IAPD-U) for HIE funding. Please note that cost allocation and fair share principles are critical requirements outlined in SMD Letter #11-004, and so the state must ensure that its funding request complies with the principles outlined in the SMD letter.

Supplemental Links:

FAQ ID:92526

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Under the CMS guidance for funding health information exchange (HIE) activities, is 90/10 HITECH administrative funding available for staffing costs?

Yes, but only in specific circumstances. States may request time-limited HITECH funding for staffing costs related to on-boarding eligible Medicaid providers to the HIE or to building initial infrastructure. The staff may sit in the state Medicaid agency or the HIE itself, depending on the state's situation. Any staffing costs for on-boarding or infrastructure must be time-limited to ensure that the costs do not become operational in nature. When requesting HITECH funds to cover staffing costs, states should present a justification that describes how many eligible providers are anticipated to on-board to the HIE and the amount of staffing time necessary to on-board those providers or build infrastructure.

Please note that HITECH administrative funding will also be available for personnel that sit within the Medicaid agency itself and support only Medicaid providers. However, the fair share and cost allocation principles outlined in the State Medicaid Director (SMD) Letter #11-004 still apply. If those personnel work on other State Medicaid program activities that do not benefit the Medicaid EHR Incentive Program, then HITECH funds must be cost allocated between the Medicaid EHR Incentive Program and the Medicaid agency personnel's other activities.

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FAQ ID:92531

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