Medicaid program; Medicaid management information system: revised definition of "mechanized claims processing and information retrieval system"--HCFA. Final rule with comment period.
We are making a number of revisions to regulations concerning mechanized claims processing and information retrieval systems ("system" or "systems"). We are revising definitions to show that we will not make available Federal funding at 75 and 90 percent of State Medicaid agency expenditures for eligibility determination systems because they do not meet the definition of a "mechanized claims processing and information retrieval system" or of an enhancement to that system. We are also conforming our regulations to changes made by section 9503(b)(2) and 9518 of the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985 (Pub. L. 99-272), which involve technical changes. One change affects the frequency and scope of our system reviews, and the other involves the date by which States that are not exempt by law must have an operating system.
D014487:Centers for Medicare and Medicaid Services, U.S.; D003199:Computer Systems; D007341:Insurance; D007344:Insurance Claim Reporting; D008484:Medicaid / Q000331:legislation & jurisprudence*; D014481:United States