Crosswalk

Crosswalk for the implementation of the Affordable Care Act of 2009 and additional Revisions for the Certification (CMS-37.10) MBES/CBES Started
on 8/15/2013
startedLine
Quarter
beginning
8/15/2013
#s on Current
CMS-37.10
(Starting
Submission on
8/15/2013)

Type of Change

Rational for
Change

Beginning with the 8/15/2013 Submission, 4
It is a Line Item added to CMS 37.10, for Eligibility
To comply with Affordable Care Act (ACA)
Eligibility Determination Staff Administrative
Determination Staff - Cost of In-House Activities. On Column Sections 1411.-1415
Expenditure Lines and 1 line for Non-Emergency
(a) the total Computable amount of expenditures of the Cost
Medical Transportation were added to CMS-37.10 of in house eligibility determination staff performing
Series
application, on-going case maintenance and renewal
Line 28.E- Eligibility Determination Staff- Cost of In- activities. The MBES will automatically enter in column (b) and
House Activities.
Column (d) at 75% of Column(a).
Line 28F- Eligibility Determination Staff- Cost of
Private Sector Contractor.

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 Contractor for eligibility
determination staff performing application, on-going case
maintenance and renewal activities. The MBES will
automatically enter in column (b) and Column (d) at 75% of
Column(a).

To comply with Affordable Care Act (ACA)
Sections 1411.-1415

Line 28G- Eligibility Determination Staff- Cost of In- This is a line item added to CMS 37.10 for Eligibility Staff of
House Activities at 50% FFP
in house activities for performing policy, outreach and
post eligibility activities. Total computable 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

Line 28H- Eligibility Determination Staff- Cost of
Private Sector Contractor 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 computable
expenditure will be reimbursable at 50%, will be
automatically calculated on Columns (b) and (d).

Line 29- Non-Emergency Medical Transportation

This line item to identify a ride or reimbursement for a ride, To Comply with 42CFR431.53; 440.170;
440.170(a); 440.170(a)(4).
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,

No Changes for 21 and 21B.

To comply with Affordable Care Act (ACA)
Sections 1411.-1415