Proposed Rule: Mechanized Claims Processing and Information Retrieval Systems for Medicaid

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This proposed rule would extend enhanced funding for Medicaid eligibility systems as part of a state’s mechanized claims processing system, and would update conditions and standards for such systems, including adding to and updating current Medicaid Management Information Systems (MMIS) conditions and standards. These changes would allow states to improve customer service and support the dynamic nature of Medicaid eligibility, enrollment, and delivery systems.

Resource Details

Date: Apr 2015
Author: U.S. Department of Health and Human Services