{"abstract":"This rule proposes to rescind the December 28, 2007 final rule entitled \"Elimination of Reimbursement Under Medicaid for School Administration Expenditures and Costs Related to Transportation of School-Age Children Between Home and School\"; the November 7, 2008 final rule entitled \"Clarification of Outpatient Hospital Facility (Including Outpatient Hospital Clinic) Services Definition\"; and certain provisions of the December 4, 2007 interim final rule with comment period entitled \"Optional State Plan Case Management Services.\" These regulations have been the subject of Congressional moratoria and have not yet been implemented (or, with respect to case management interim final rule, have only been partially implemented) by CMS. In light of concerns raised about the adverse effects that could result from these regulations, in particular the potential restrictions on services available to beneficiaries, potential deleterious effect on state partners in the economic downturn, and the lack of clear evidence demonstrating that the approaches taken in the regulations are warranted, CMS is proposing to rescind the two final rules in full, and to partially rescind the interim final rule. Rescinding these provisions will permit further opportunity to determine the best approach to further the objectives of the Medicaid program in providing necessary health benefits coverage to needy individuals.","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/2009/05/06/E9-10494.html","cfr_references":[{"chapter":null,"citation_url":null,"part":431,"title":42},{"chapter":null,"citation_url":null,"part":433,"title":42},{"chapter":null,"citation_url":null,"part":440,"title":42},{"chapter":null,"citation_url":null,"part":441,"title":42}],"citation":"74 FR 21232","comment_url":null,"comments_close_on":"2009-06-01","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 June 1, 2009.","disposition_notes":null,"docket_ids":["CMS-2287-P2","CMS-2213-P2","CMS 2237-P"],"dockets":[],"document_number":"E9-10494","effective_on":null,"end_page":21237,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2009/05/06/E9-10494.xml","html_url":"https://www.federalregister.gov/documents/2009/05/06/E9-10494/medicaid-program-rescission-of-school-based-services-final-rule-outpatient-services-definition-final","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/E9-10494?publication_date=2009-05-06","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2009-05-06/E9-10494/mods.xml","not_received_for_publication":null,"page_length":6,"page_views":{"count":164,"last_updated":"2026-10-24 22:15:04 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2009-05-06/pdf/E9-10494.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":null,"publication_date":"2009-05-06","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2009/05/06/E9-10494.txt","regulation_id_number_info":{"0938-AP75":null},"regulation_id_numbers":["0938-AP75"],"regulations_dot_gov_info":{},"regulations_dot_gov_url":null,"significant":null,"signing_date":null,"start_page":21232,"subtype":null,"title":"Medicaid Program: Rescission of School-Based Services Final Rule, Outpatient Services Definition Final Rule, and Partial Rescission of Case Management Services Interim Final Rule","toc_doc":"Rescission of School-Based Services Final Rule, Outpatient Services Definition Final Rule, and Partial Rescission of Case Management Services Interim Final Rule","toc_subject":"Medicaid Program:","topics":["Administrative practice and procedure","Family planning","Grant programs-health","Health facilities","Infants and children","Medicaid","Penalties","Prescription drugs","Privacy","Reporting and recordkeeping requirements"],"type":"Proposed Rule","volume":74}