| Crosswalk for the Implementation of the Affordable Care Act of 2009 and Additional Revisions for Certification (CMS-64) MBES/CBES |
| Section # on Current CMS-64 (3/31/2013) |
Type of Change |
Rational for Change |
| 64.9 series of forms (i.e., 64.9O RAC, 64.S9RAC, 64.9 Waiver DSH Diversion, CMS 64.9E 64.9PE) Various Lines on CMS- 64.9 added. Lines 5C, 5D, 18A1, 18A2, 18A3, 18A4, 18B1a, 18b1b, 18b1c, 18b1d, 18B2a, 18B2b, 18B2c, 18B2d, 19D and 34A. Various Lines on CMS-64.10 added: Lines 24E, 24F, 26, 27, 28A, 28B, 28C and 28D. |
New Forms added: 64.9O RAC, which is overpayment Recovery screen, recovery through Recovery Audit Contractor, 64.S9RAC, which is overpayment Recovery Summary Screen, separates RAC collectio report, contractor fee, the net goes to 9E of the 64 Summary. It comply with Sec.6411 of ACA. 64.9Waiver DSH Diversion form is based on 1115 Waiver to demonstrate Neutrality. The form shows MAP DSH diversion quarterly or yearly. CMS 64.9E and 64.9PE added to comply with ACA Section 2202. Form is for both MAP and Waivers. |
To comply with ACA. Sections 6411, 2202, Waiver 1115. |
| 64.9 series of forms (i.e., 64.9O RAC, 64.S9RAC, 64.9 Waiver DSH Diversion, CMS 64.9E 64.9PE) Various Lines on CMS- 64.9 added. Lines 5C, 5D, 18A1, 18A2, 18A3, 18A4, 18B1a, 18b1b, 18b1c, 18b1d, 18B2a, 18B2b, 18B2c, 18B2d, 19D and 34A. Various Lines on CMS-64.10 added: Lines 24E, 24F, 26, 27, 28A, 28B, 28C and 28D. |
Various New Lines added to 64.9 Series. Line 5C for Physician & Surgical Services _ Evaluation and Management, Line 5C Physicians & Surgical Services - Vaccine Codes, Section 1202 of ACA |
To comply with Section 1202 of ACA, |
| 64.9 series of forms (i.e., 64.9O RAC, 64.S9RAC, 64.9 Waiver DSH Diversion, CMS 64.9E 64.9PE) Various Lines on CMS- 64.9 added. Lines 5C, 5D, 18A1, 18A2, 18A3, 18A4, 18B1a, 18b1b, 18b1c, 18b1d, 18B2a, 18B2b, 18B2c, 18B2d, 19D and 34A. Various Lines on CMS-64.10 added: Lines 24E, 24F, 26, 27, 28A, 28B, 28C and 28D. |
New Lines 18A1 for Medicaid MCO -Evaluation, Line 18A2 for Medicaid MCO Vaccine Codes, Line 18A3 Medicaid MCO Community First Choice, Line 18A4 Medicaid MCO-Preventive Services Garade A or B ACIP Vaccine and its administration. |
To comply with Sections 1202, 2401and 4106 of ACA. |
| 64.9 series of forms (i.e., 64.9O RAC, 64.S9RAC, 64.9 Waiver DSH Diversion, CMS 64.9E 64.9PE) Various Lines on CMS- 64.9 added. Lines 5C, 5D, 18A1, 18A2, 18A3, 18A4, 18B1a, 18b1b, 18b1c, 18b1d, 18B2a, 18B2b, 18B2c, 18B2d, 19D and 34A. Various Lines on CMS-64.10 added: Lines 24E, 24F, 26, 27, 28A, 28B, 28C and 28D. |
New lines added, 18B1a, MCO PAHP (Prepaid Abulatory Health Plan), Evaluation and Management, Line 18B1b, MCO PAHP, Vaccine Codes, Line 18B1c MCO PAHP, Community Choice and Line 18B1d, MCO PAHP Preventive Services Grade Aor B ACIP Vaccine and its Administration. |
To comply with Sections 1202, 2401and 4106 of ACA. |
| 64.9 series of forms (i.e., 64.9O RAC, 64.S9RAC, 64.9 Waiver DSH Diversion, CMS 64.9E 64.9PE) Various Lines on CMS- 64.9 added. Lines 5C, 5D, 18A1, 18A2, 18A3, 18A4, 18B1a, 18b1b, 18b1c, 18b1d, 18B2a, 18B2b, 18B2c, 18B2d, 19D and 34A. Various Lines on CMS-64.10 added: Lines 24E, 24F, 26, 27, 28A, 28B, 28C and 28D. |
New lines added, 18B2a, MCO PIHP (Prepaid Inpatient Hospital Plan), Evaluation and Management, Line 18B2b, MCO PIHP, Vaccine Codes, Line 18B2c MCO PIHP, Community Choice and Line 18B2d, MCO PIHP Preventive Services Grade Aor B ACIP Vaccine and its Administration. |
To comply with Sections 1202, 2401and 4106 of ACA. |
| 64.9 series of forms (i.e., 64.9O RAC, 64.S9RAC, 64.9 Waiver DSH Diversion, CMS 64.9E 64.9PE) Various Lines on CMS- 64.9 added. Lines 5C, 5D, 18A1, 18A2, 18A3, 18A4, 18B1a, 18b1b, 18b1c, 18b1d, 18B2a, 18B2b, 18B2c, 18B2d, 19D and 34A. Various Lines on CMS-64.10 added: Lines 24E, 24F, 26, 27, 28A, 28B, 28C and 28D. |
A new line 19D added for Home and Community Based Services State Plan 1915k Community First Choice and Line 34A for Preventive Services Grade A or B ACIP Vaccine and Administration |
To comply with Sections 2401and 4106 of ACA. |
| Various Lines on CMS-64.10 added: Lines 24E, 24F, 26, 27, 28A, 28B, 28C and 28D. |
Line 24E for HIT Incentive Payments - Eligible Professionals, Line 24F for HIT Incentive Payments - Eligible Hospitals, Line 26 for Planning for Health Homes for entrolees with Chronic conditions, Line 27 for Rcovery Audit Contractors (RAC) State Administration, Line 28A for Design Development/ installation of Medicaid Eligibility Determeination System (MEDS)- Cost of In-house activities, Line 28B for Design Development/ installation of Medicaid Eligibility Determeination System- Cost of Private Sector Contractors, Line 28C for Operation of an approved MEDS-Cost of In-house activities, Line 28D for Operation of an approved MEDS-Cost of Private Contractors. |
To Comply with ARRA 13301 |