medicaid · Centers for Medicare and Medicaid Services · Rule · Published 2010-05-28 · Effective 2010-07-01 · 75 FR 30244
Document
Document number
2010-12954
Federal Register citation
75 FR 30244
CFR reference
42 CFR 447
Type
Rule
Action
Final rule with comment period.
Category
medicaid
Sub-agency
Centers for Medicare and Medicaid Services
Publication date
2010-05-28
Effective date
2010-07-01
HHS docket
CMS-2244-FC
Abstract
This final rule revises the November 25, 2008 final rule entitled, "Medicaid Programs; Premiums and Cost Sharing (73 FR 71828)," to address public comments received during reopened comment periods, and to reflect relevant statutory changes made in section 5006(a) of the American Recovery and Reinvestment Act of 2009 (the Recovery Act). This revised final rule implements and interprets section 1916A of the Social Security Act (the Act), which was added by sections 6041, 6042, and 6043 of the Deficit Reduction Act of 2005 (DRA), amended by section 405(a)(1) of the Tax Relief and Health Care Act of 2006 (TRHCA) and further amended by section 5006(a) of the American Recovery and Reinvestment Act of 2009 (the Recovery Act). These provisions increase State flexibility to impose premiums and cost sharing for coverage of certain individuals whose family income exceeds specified levels. This revised rule also provides a further opportunity for public comment on revisions made to implement and interpret section 5006(a) of the Recovery Act. The Recovery Act prohibits States from charging premiums and cost sharing under Medicaid to Indians furnished items or services directly by the Indian Health Service, Indian Tribes, Tribal Organizations, or Urban Indian Organizations or through referral under contract health services.