{"id":"FED-093","kind":"order","level":"federal","jurisdiction":"United States (State Medicaid programs; group health plans; providers)","state":"","metro":"","industry":"","agency":"","eco":"","issuer":"Centers for Medicare \u0026 Medicaid Services, HHS (with Treasury and Labor)","authority":"FFCRA § 6008; CARES Act §§ 3202, 3203; Social Security Act","instrument":"CMS-9912-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (interim final rule): 42 C.F.R. § 433.400 (FMAP maintenance-of-effort conditions); vaccine coverage","title":"Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency, 85 Fed. Reg. 71142 (Nov. 6, 2020)","dateIssued":"2020-11-02","effective":"2020-11-02 (\u0027These regulations are effective on November 2, 2020\u0027)","end":"for the duration of the PHE (FMAP increase phased down in 2023)","startDate":"2020-11-02","endDate":"2021-09-30","quarters":["2020Q4","2021Q1","2021Q2","2021Q3"],"types":["HC","OTHER"],"addressees":["State Medicaid agencies (continuous-enrollment condition of the 6.2-point FMAP increase)","health plans and providers (vaccine coverage without cost sharing)"],"clause":"This IFC adds a new subpart G, Temporary FMAP Increase During the Public Health Emergency for COVID-19, to 42 CFR part 433, including a new § 433.400. This new provision interprets and implements section 6008(b)(3) of the FFCRA to require states, as a condition for receiving the temporary FMAP increase described at section 6008(a) of the FFCRA, to maintain beneficiary enrollment with specified protections.","enforcement":"Loss of the enhanced FMAP for non-compliant quarters","functions":["CB payer base of every Medicaid provider (continuous enrollment kept the Medicaid rolls frozen open)","OF billing (vaccine administration coverage rules)"],"notes":"Payer-layer instrument: the federal condition that kept every State\u0027s Medicaid enrollment continuous through the PHE, reaching home care, hospitals, physician practices, dental Medicaid providers and behavioral health.","sourceUrl":"https://www.govinfo.gov/content/pkg/FR-2020-11-06/pdf/2020-24332.pdf","snapshot":"","fileExists":true,"fileBytes":506332,"grade":"primary","character":"","description":"","collection":"FED-A","url":"/library/FED-093","exhibitUrl":"/exhibit/FED-093","citation":"Centers for Medicare \u0026 Medicaid Services, HHS (with Treasury and Labor), CMS-9912-IFC, Additional Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency (interim final rule): 42 C.F.R. § 433.400 (FMAP maintenance-of-effort conditions); vaccine coverage (Nov. 2, 2020) (Ex. FED-093)","stateName":"","related":[]}