{"abstract":"This final rule implements provisions of the Affordable Care Act that expand access to health coverage through improvements in Medicaid and coordination between Medicaid, CHIP, and Exchanges. This rule finalizes most of the remaining provisions from the \"Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing; Proposed Rule\" that we published in the January 22, 2013, Federal Register. This final rule continues our efforts to assist states in implementing Medicaid and CHIP eligibility, appeals, and enrollment changes required by the Affordable Care Act.","action":"Final rule.","agencies":[{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"},{"raw_name":"Centers for Medicare & Medicaid Services","name":"Centers for Medicare & Medicaid Services","id":45,"url":"https://www.federalregister.gov/agencies/centers-for-medicare-medicaid-services","json_url":"https://www.federalregister.gov/api/v1/agencies/45","parent_id":221,"slug":"centers-for-medicare-medicaid-services"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2016/11/30/2016-27844.html","cfr_references":[{"chapter":null,"citation_url":null,"part":407,"title":42},{"chapter":null,"citation_url":null,"part":430,"title":42},{"chapter":null,"citation_url":null,"part":431,"title":42},{"chapter":null,"citation_url":null,"part":433,"title":42},{"chapter":null,"citation_url":null,"part":435,"title":42},{"chapter":null,"citation_url":null,"part":457,"title":42}],"citation":"81 FR 86382","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective on January 20, 2017.","disposition_notes":null,"docket_ids":["CMS-2334-F2"],"dockets":[],"document_number":"2016-27844","effective_on":"2017-01-20","end_page":86466,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2016/11/30/2016-27844.xml","html_url":"https://www.federalregister.gov/documents/2016/11/30/2016-27844/medicaid-and-childrens-health-insurance-programs-eligibility-notices-fair-hearing-and-appeal","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2016-27844?publication_date=2016-11-30","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2016-11-30/2016-27844/mods.xml","not_received_for_publication":null,"page_length":85,"page_views":{"count":19138,"last_updated":"2026-07-26 14:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2016-11-30/pdf/2016-27844.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2016-27844.pdf?1479762926","publication_date":"2016-11-30","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2016/11/30/2016-27844.txt","regulation_id_number_info":{"0938-AS27":{"issue":"201610","html_url":"https://www.federalregister.gov/regulations/0938-AS27/eligibility-notices-fair-hearing-and-appeal-processes-for-medicaid-and-other-provisions-related-to-e","title":"Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid, and Other Provisions Related to Eligibility and Enrollment for Medicaid and CHIP (CMS-2334-F2)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201610&RIN=0938-AS27&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AS27"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AR04/medicaid-exchanges-and-children-s-health-insurance-programs-eligibility-appeals-and-other-provisions","title":"Medicaid, Exchanges, and Children's Health Insurance Programs: Eligibility, Appeals, and Other Provisions Under the Affordable Care Act (CMS-2334-F)"},"comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2013-0012","supporting_documents_count":0,"docket_id":"CMS-2013-0012","regulation_id_number":"0938-AR04","title":"Medicaid, Children’s Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing (CMS-2334-P2)","checked_regulationsdotgov_at":"2016-12-20T06:00:20Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":86382,"subtype":null,"title":"Medicaid and Children's Health Insurance Programs: Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Other Provisions Related to Eligibility and Enrollment for Medicaid and CHIP","toc_doc":"Fair Hearing and Appeal Processes for Medicaid and Other Provisions Related to Eligibility and Enrollment for Medicaid and Children's Health Insurance Program","toc_subject":"Medicaid and Children's Health Insurance Programs:","topics":["Administrative practice and procedure","Aid to Families with Dependent Children","Grant programs-health","Health facilities","Health insurance","Medicaid","Privacy","Reporting and recordkeeping requirements","Supplemental Security Income (SSI)","Wages"],"type":"Rule","volume":81}