{"abstract":"This proposed rule would promote transparency by establishing new reporting requirements for states to provide CMS with certain information on supplemental payments to Medicaid providers, including supplemental payments approved under either Medicaid state plan or demonstration authority, and applicable upper payment limits. Additionally, the proposed rule would establish requirements to ensure that state plan amendments proposing new supplemental payments are consistent with the proper and efficient operation of the state plan and with efficiency, economy, and quality of care. This proposed rule addresses the financing of supplemental and base Medicaid payments through the non-federal share, including states' uses of health care- related taxes and bona fide provider-related donations, as well as the requirements on the non-federal share of any Medicaid payment.","action":"Proposed 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/2019/11/18/2019-24763.html","cfr_references":[{"chapter":null,"citation_url":null,"part":430,"title":42},{"chapter":null,"citation_url":null,"part":433,"title":42},{"chapter":null,"citation_url":null,"part":447,"title":42},{"chapter":null,"citation_url":null,"part":455,"title":42},{"chapter":null,"citation_url":null,"part":457,"title":42}],"citation":"84 FR 63722","comment_url":null,"comments_close_on":"2020-01-17","correction_of":null,"corrections":[],"dates":"To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on January 17, 2020.","disposition_notes":null,"docket_ids":["CMS-2393-P"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":4210,"comment_start_date":"2019-11-18","updated_at":"2023-02-28T13:57:13.294-05:00","comment_url":"https://www.regulations.gov/commenton/CMS-2019-0169-0001","allow_late_comments":null,"id":"CMS-2019-0169-0001","comment_end_date":"2020-02-02","regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2019-0169","title":"Medicaid Fiscal Accountability Regulation (CMS-2393-P)"}],"document_number":"2019-24763","effective_on":null,"end_page":63785,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2019/11/18/2019-24763.xml","html_url":"https://www.federalregister.gov/documents/2019/11/18/2019-24763/medicaid-program-medicaid-fiscal-accountability-regulation","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2019-24763?publication_date=2019-11-18","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2019-11-18/2019-24763/mods.xml","not_received_for_publication":null,"page_length":64,"page_views":{"count":35296,"last_updated":"2026-10-22 20:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2019-11-18/pdf/2019-24763.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2019-24763.pdf?1573593320","publication_date":"2019-11-18","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2019/11/18/2019-24763.txt","regulation_id_number_info":{"0938-AT50":{"issue":"202004","html_url":"https://www.federalregister.gov/regulations/0938-AT50/medicaid-fiscal-accountability-cms-2393-","title":"Medicaid Fiscal Accountability (CMS–2393)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202004&RIN=0938-AT50&operation=OPERATION_EXPORT_XML","priority_category":"Economically Significant"}},"regulation_id_numbers":["0938-AT50"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AT50/medicaid-fiscal-accountability-cms-2393-","title":"Medicaid Fiscal Accountability (CMS–2393)"},"comments_count":4210,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2019-0169","supporting_documents_count":0,"docket_id":"CMS-2019-0169","document_id":"CMS-2019-0169-0001","regulation_id_number":"0938-AT50","title":"Medicaid Fiscal Accountability Regulation (CMS-2393-P)","checked_regulationsdotgov_at":"2023-02-28T18:57:12Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":63722,"subtype":null,"title":"Medicaid Program; Medicaid Fiscal Accountability Regulation","toc_doc":"Medicaid Fiscal Accountability Regulation","toc_subject":"Medicaid Program:\n","topics":["Accounting","Administrative practice and procedure","Child support","Claims","Drugs","Fraud","Grant programs-health","Health facilities","Health insurance","Health professions","Investigations","Medicaid","Reporting and recordkeeping requirements","Rural areas"],"type":"Proposed Rule","volume":84}