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CMS says states could lose funding over Medicaid redeterminations issues

December 5, 2023 (Healthcare Dive)

Federal regulators are cracking down on the growing number of procedural disenrollments during ongoing Medicaid redeterminations, warning that states could lose federal funding and face fines if they fail to follow federal requirements, according to a CMS interim final rule published Monday. The rule, which takes effect on Wednesday, allows regulators to force states to submit a corrective action plan if they don’t comply with monthly reporting or eligibility requirements. If states don’t create or follow the plan, the agency can suspend disenrollments, impose monetary penalties and reduce the federal government’s share of Medicaid program costs.

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