Reports and Publications

• Coordination of Eligibility and Enrollment between Medicaid, CHIP and the Federally Facilitated Marketplace (FFM or Marketplace)

  

• FAQs: Covered Outpatient Drug Final Rule with Comment (CMS-2345-FC)

  

• CIB: Addendum to 2016 Medicaid Managed Care Rate Development Guide

  

• SMD: Mechanized Claims Processing and Information Retrieval Systems –APD Requirements

  

• CIB: Federal public notice and public process requirements for changes to Medicaid payment rates

  

• October – December 2015 Medicaid MBES Enrollment Report

  

• April 1, 2015 – June 30, 2015 New Adult Group Expenditures Reports

  

• RFI: Modular Solutions for Medicaid IT Enterprise and Pre-certification of Solutions

  

• SHO: Medicaid Family Planning Services and Supplies

  

• CIB: Social Security Number Removal Initiative (SSNRI)

  

• SMD: Clarifying Free Choice of Provider Requirement in Conjunction with State Authority to Take Action against Medicaid Providers

  

• Improved Alignment with Medicare Advantage and Private Coverage Plans

  

• FY 2015 Health Care Fraud and Abuse Control Program Report

  

• California State Medicaid Fraud Control Unit: 2015 Onsite Review

  

• Medicaid Fraud Control Units Statistical Data for Fiscal Year 2015

  

• Annual Report for Fiscal Year 2014

  

• Medicaid Fraud Control Units Fiscal Year 2014 Annual Report

  

• Ohio Did Not Always Comply With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud

  

• New Mexico State Medicaid Fraud Control Unit: 2014 Onsite Review

  

• Minnesota Complied With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud