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CMS Expands Requirements for PERM, CHIP

Janice Simmons, for HealthLeaders Media, August 12, 2010

Taking into consideration comments received from states, advocacy groups, and educational institutions, the final regulation implements changes to programs required by the CHIP Reauthorization Act (CHIPRA) of 2009 and other operational changes.

The rule will change the process for reviewing cases in which states have used simplified enrollment efforts such as self-declaration for eligibility cases.

The final rule does the following:

  • Eliminates duplication of effort between eligibility reviews administered during the same fiscal year
  • Extends the timeframe for providers to submit documentation
  • Provides states with additional time to submit corrective action plans.

As part of the federal-state partnership, CMS will be conducting educational sessions with state oversight staff to promoted better understanding of the changes to the programs established by the final rule. CMS also will work with the states on ways to further reduce payment errors in Medicaid and CHIP.


Janice Simmons is a senior editor and Washington, DC, correspondent for HealthLeaders Media Online. She can be reached at jsimmons@healthleadersmedia.com.

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