{"abstract":"This final rule simplifies processes for eligible individuals to enroll and retain eligibility in the Medicare Savings Programs (MSPs). This final rule better aligns enrollment into the MSPs with requirements and processes for other public programs. Finally, this final rule reduces the complexity of applications and reenrollment for eligible individuals.","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/2023/09/21/2023-20382.html","cfr_references":[{"chapter":null,"citation_url":null,"part":406,"title":42},{"chapter":null,"citation_url":null,"part":435,"title":42}],"citation":"88 FR 65230","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"These regulations are effective November 17, 2023. Throughout, however, we identify separate compliance dates that vary by provision, thereby giving States additional time to implement the provisions of this final rule.","disposition_notes":null,"docket_ids":["CMS-2421-F"],"dockets":[{"supporting_documents":[],"agency_name":"CMS","documents":[{"comment_count":null,"comment_start_date":null,"updated_at":"2023-09-21T18:02:17.881-04:00","comment_url":"https://www.regulations.gov/commenton/CMS-2022-0134-7057","allow_late_comments":null,"id":"CMS-2022-0134-7057","comment_end_date":null,"regulations_dot_gov_open_for_comment":false}],"supporting_documents_count":0,"id":"CMS-2022-0134","title":"Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421-P)"}],"document_number":"2023-20382","effective_on":"2023-11-17","end_page":65271,"executive_order_notes":null,"executive_order_number":null,"explanation":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2023/09/21/2023-20382.xml","html_url":"https://www.federalregister.gov/documents/2023/09/21/2023-20382/streamlining-medicaid-medicare-savings-program-eligibility-determination-and-enrollment","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2023-20382?publication_date=2023-09-21","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2023-09-21/2023-20382/mods.xml","not_received_for_publication":null,"page_length":42,"page_views":{"count":18775,"last_updated":"2026-04-05 02:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2023-09-21/pdf/2023-20382.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2023-20382.pdf?1695068117","publication_date":"2023-09-21","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2023/09/21/2023-20382.txt","regulation_id_number_info":{"0938-AU00":{"issue":"202310","html_url":"https://www.federalregister.gov/regulations/0938-AU00/streamlining-the-medicaid-chip-and-bhp-application-eligibility-determination-enrollment-and-renewal-","title":"Streamlining the Medicaid, CHIP, and BHP Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=202310&RIN=0938-AU00&operation=OPERATION_EXPORT_XML","priority_category":"Section 3(f)(1) Significant"}},"regulation_id_numbers":["0938-AU00"],"regulations_dot_gov_info":{"supporting_documents":[],"regulatory_plan":{"html_url":"https://www.federalregister.gov/regulations/0938-AU00/streamlining-the-medicaid-chip-and-bhp-application-eligibility-determination-enrollment-and-renewal-","title":"Streamlining the Medicaid, CHIP, and BHP Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421)"},"comments_count":0,"agency_id":"CMS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=CMS-2022-0134","supporting_documents_count":0,"docket_id":"CMS-2022-0134","document_id":"CMS-2022-0134-7057","regulation_id_number":"0938-AU00","title":"Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421-P)","checked_regulationsdotgov_at":"2023-09-22T20:00:15Z"},"regulations_dot_gov_url":null,"significant":false,"signing_date":null,"start_page":65230,"subtype":null,"title":"Streamlining Medicaid; Medicare Savings Program Eligibility Determination and Enrollment","toc_doc":"Streamlining Medicaid; Medicare Savings Program Eligibility Determination and Enrollment","toc_subject":null,"topics":["Aid to Families with Dependent Children","Diseases","Grant programs-health","Health facilities","Medicaid","Medicare","Reporting and recordkeeping requirements","Supplemental Security Income (SSI)","Wages"],"type":"Rule","volume":88}