Sec. 4. Requiring CMS to track State asset verification of Federal Medicaid programs
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/bill/119/s/1082/is/section-4A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
Not later than 2 years after the date of the enactment of this Act, the Secretary of Health and Human Services, acting through the Centers for Medicare & Medicaid Services, shall create a Federal tracking system of the savings in Federal expenditures on the Medicaid program under title XIX of the Social Security Act ( 42 U.S.C. 1396 et seq. ) that are associated with the asset verification program requirement added under section 2(a). Beginning with the first year that begins on or after the date of enactment of this Act, each State shall submit to the Secretary, as part of the triennial review required under the Payment Error Rate Measurement program of the Centers for Medicare & Medicaid Services, a report, that the Secretary shall make publicly available, on the activities of the State relating to eligibility determinations and renewals conducted during the year for which the report is submitted, and which includes, with respect to such year, the following information:
The number of eligibility renewals initiated, and asset checks conducted, beneficiaries renewed on a total and ex parte basis. The number of asset checks conducted out of the number of new applications initiated and the number of applicants determined eligible after such checks. Such other information related to eligibility determinations and renewals during such month, as identified by the Secretary. For purposes of applying the reporting requirements of paragraph
(1)to Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa, the Secretary shall promulgate regulations to modify such requirements so that they are similar to the reporting requirements that apply under such paragraph to the 50 States and the District of Columbia but are reasonable given the circumstances of each such territory. The Secretary may assess a State’s compliance with all Federal requirements applicable to eligibility determinations, redeterminations, and Medicaid payment error rate measurement
(PERM)reporting requirements, and, if the Secretary determines that a State did not comply with any such requirements during the 180-day period preceding the assessment, the Secretary may require the State to submit and implement a corrective action plan in accordance with paragraph (2). A State that receives a written notice from the Secretary that the Secretary has determined that the State is not in compliance with a requirement described in paragraph
(1)shall— not later than 90 days after receiving such notice, submit a corrective action plan to the Secretary; not later than 90 days after the date on which such corrective action plan is submitted to the Secretary, receive approval or disapproval for the plan from the Secretary; and begin implementation of such corrective action plan not later than 90 days after such approval.
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Sec. 4
Requiring CMS to track State asset verification of Federal Medicaid programs
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