# Medicaid Program; Covered Outpatient Drug; Delay in Change in Definitions of States and United States
> **Centers for Medicare and Medicaid Services** · Interim final rule with comment period. · Published 2016-11-15 · Effective 2016-11-15 · 81 FR 80003
## Document
- **Document number:** 2016-27423
- **Category:** medicaid
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 81 FR 80003
- **CFR reference:** 42 CFR 447
- **Publication date:** 2016-11-15
- **Effective date:** 2016-11-15
- **HHS docket:** CMS-2345-IFC
## Abstract

The Covered Outpatient Drug final rule with comment period was published in the February 1, 2016 Federal Register. As part of that final rule with comment, we amended the regulatory definitions of "States" and "United States" to include the U.S. territories (American Samoa, the Northern Mariana Islands, Guam, the Commonwealth of Puerto Rico, and the Virgin Islands) beginning April 1, 2017. This interim final rule with comment period delays the inclusion of the territories in the definition of "States" and "United States" until April 1, 2020.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2016/11/15/2016-27423/medicaid-program-covered-outpatient-drug-delay-in-change-in-definitions-of-states-and-united-states)
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