Crosswalk for the Implementation of the Affordable Care Act of 2009 and Additional Revisions for Certification (CMS-37.10) MBES/CBES | ||
Line #s on Current CMS-37.10 | Type of Change | Rational for Change |
4 Eligibility Determination Staff Aministrative Expenditure Lines and 1 line for Non-Emergency Medical Transportation were added to CMS-37.10 Series 1. Line 28.E- Eligibility DeterminationStaff- Cost of In-House Activities. |
It is a Line Item added to CMS 37.10, for Eligibility Determination Staff - Cost of In-House Activities. On Column (a) the total Computable amount of expenditures of the Cost of in house eligibility determination staff performing application, on-going case maintenance and renewal activities. The MBES will automaticallyenter in column (b) and Column (d) at 75% of Column(a). | To comply with Affordable Care Act (ACA) Sections 1411.-1415 |
2. Line 28F- Eligibility Determination Staff- Cost of Private Sector Contarctor. |
It is a Line Item added to CMS 37.10 for Eligibility Determination Staff - Cost of Private Sector Contractor. On Column (a) the total Computable amount of expenditures of the Cost of Private Sector Cotractor for eligibility determination staff performing application, on-going case maintenance and renewal activities. The MBES will automaticallyenter in column (b) and Column (d) at 75% of Column(a). | To comply with Affordable Care Act (ACA) Sections 1411.-1415 |
2. Line 28G- Eligibility Determination Staff- Cost of In-House Activities at 50% FFP |
This is a line item added to CMS 37.10 for Eligibility Staff of in house activities for performing policy, outreach and post eligibility activities. Total complutable expenditure will be reimbursable at 50%, will be automatically calculated on Columns (b) and (d). | To comply with Affordable Care Act (ACA) Sections 1411.-1415 |
2. Line 28H- Eligibility Determination Staff- Cost of Private Sector Contarctor at 50% FFP |
This is a line item added to CMS 37.10 for Eligibility Staff of Private Sector Contractor activities for performing policy, outreach and post eligibility activities. Total complutable expenditure will be reimbursable at 50%, will be automatically calculated on Columns (b) and (d). | To comply with Affordable Care Act (ACA) Sections 1411.-1415 |
2. Line 29- Non-Emergency Medical Transportation | This line item to identify a ride or reimbursement for a ride, provided to a Medicaid Beneficiary with no other transportation resources can receive services from a medical provider. This services will be provided on an emergency basis, such as trips to the emergency room for life threatening situation, | To Comply with 42CFR431.53; 440.170; 440.170(a); 440.170(a)(4). |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |