In the Aug. 31 issue of the Federal Register, the Centers for Medicare and Medicaid (CMS) published a final rule setting forth the state requirements to provide information to CMS for purposes of estimating improper payments in Medicaid and the State Children’s Health Insurance Program. The Improper Payments Information Act of 2002 requires heads of federal agencies to estimate and report to Congress annually these estimates of improper payments for the programs they oversee, and submit a report on actions the agency is taking to reduce erroneous payments.
The rule includes state requirements for submitting claims and policies to CMS federal contractors for purposes of conducting fee-for-service and managed care reviews, and for conducting eligibility reviews and estimating case and payment error rates due to errors in eligibility determinations. The regulations are effective as of Oct. 1, 2007. Access the final rule.
