2019-24763: Medicaid Program; Medicaid Fiscal Accountability Regulation

Summary

This proposed rule would promote transparency by establishing new reporting requirements for states to provide CMS with certain information on supplemental payments to Medicaid providers, including supplemental payments approved under either Medicaid state plan or demonstration authority, and applicable upper payment limits. Additionally, the proposed rule would establish requirements to ensure that state plan amendments proposing new supplemental payments are consistent with the proper and efficient operation of the state plan and with efficiency, economy, and quality of care. This proposed rule addresses the financing of supplemental and base Medicaid payments through the non-federal share, including states' uses of health care- related taxes and bona fide provider-related donations, as well as the requirements on the non-federal share of any Medicaid payment.

The agency’s own summary, as published.

What this changes

Amends 5 parts of the Code of Federal Regulations — the standing rules this notice rewrites.

• 42 CFR 430 Grants to States for Medical Assistance Programs
• 42 CFR 433 State Fiscal Administration
• 42 CFR 447 Payments for Services
• 42 CFR 455 Program Integrity: Medicaid
• 42 CFR 457 Allotments and Grants to States