CROSSWALK - Form CMS-21

Crosswalk for the 21 ARP Section 9821 New line.xlsx

Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the Medical Assistance Program, Administration and CHIP (MBES/CBES Forms CMS-21 and -21B, -37, and -64) -- (CMS-10529)

CROSSWALK - Form CMS-21

OMB: 0938-1265

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Crosswalk for the implementation of the Revisions of (CMS-21) ARP Section 9821 COVID VACCINE/VACCINE ADMINISTRATION in MBES/CBES on the current CMS-21 Form series, starting Quarter beginning 10/01/2021
Quarter Beginning 10/1/2021 Type of Change Rationale for the Change
CMS 21 and CMS 21P Expenditure Forms: CMS is adding the new Line item 26) ARP SECTION 9821 COVID VACCINE/VACCINE ADMINISTRATION A line that allows for Total Computable (A) entry for ARP Section 9821 COVID VACCINE/VACCINE ADMINISTRATION calculated at 100% Federal Share Effective March 11, 2021, the American Rescue Plan Act of 2021 (ARP) (Pub. L. 117-2) was signed into law. The Act provides in some cases, increased federal medical assistance percentages (FMAPs) to states and territories under sections 9811, 9813, 9814, 9815, 9817, 9819, and 9821.









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