MIL-OSI USA: CMS Reinforces Medicaid and CHIP Integrity by Strengthening Eligibility Oversight and Limiting Certain Demonstration Authorities

Source: US Department of Health and Human Services

The Centers for Medicare & Medicaid Services (CMS) is taking steps to restore accountability and safeguard the long-term integrity of Medicaid and the Children’s Health Insurance Program (CHIP). Through newly issued letters to states, CMS is emphasizing a clear shift away from policies that extend beyond statutory limits, specifically policies on continuous eligibility and workforce initiatives. This shift in approach reflects the agency’s commitment to preserving these vital programs for the most vulnerable Americans and using taxpayer dollars carefully. These initiatives require large investments of federal funds, estimated at more than a billion dollars. Specifically:

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