Medicaid Program; Eligibility
Changes under the Affordable Care Act of 2010 (CMS-10410)
Revision of a currently approved collection
No
Regular
07/12/2023
Requested
Previously Approved
36 Months From Approved
10/31/2025
76,504,319
76,500,218
21,270,403
21,266,302
0
0
The Patient Protection and Affordable
Care Act (Pub. L. 111-148, enacted on March 23, 2010) as amended by
the Health Care and Education Reconciliation Act of 2010 (Pub. L.
111-152, enacted on March 30, 2010) are collectively referred to as
the Affordable Care Act. The Affordable Care Act expands access to
insurance affordability programs through improvements in Medicaid
eligibility, enrollment simplification, the establishment of
Affordable Insurance Exchanges ("Exchanges"), and coordination
between Medicaid, the Children's Health Insurance Program (CHIP),
and Exchanges. Relevant to this Statement, the Affordable Care Act
promotes a high level of coordination, simplification, and data
sharing among State and Federal agencies for the purpose of a
seamless and streamlined eligibility system. The Affordable Care
Act allows for significant use of Web-based technology to provide
information to the public and facilitate application and renewal
functions. It creates a "no wrong door" approach to insurance
affordability programs so that individuals will not have to apply
to multiple programs. Nor will they have to repeat the application
process if they initially apply to a program for which they are not
ultimately determined eligible. It also provides a simplified
process for maintaining coverage through a streamlined renewal
process. The provisions of the Affordable Care Act relevant to this
Statement are effective January 1, 2014. The proposed requirements
for the collection and reporting of information and recordkeeping
(collectively known as information collections) generally relate to
ensuring data sharing and coordination among State and Federal
agencies, recordkeeping efforts among State agencies, and the
development of Web-based systems and notices in support of the
implementation of the Affordable Care Act.
PL: Pub.L. 111 - 148 2002 Name of Law:
Patient Protection and Affordable Care Act
PL: Pub.L. 111 - 148 2201 Name of Law: Patient Protection and
Affordable Care Act
Statute at Large: 19 Stat. 1902
Statute at Large: 21 Stat. 2102
PL: Pub.L. 111 - 148 1414 Name of Law: Patient Protection and
Affordable Care Act
PL: Pub.L. 111 - 148 1413 Name of Law: Patient Protection and
Affordable Care Act
PL: Pub.L. 111 - 148 2101 Name of Law: Patient Protection and
Affordable Care Act
PL: Pub.L. 111 - 148 2001 Name of Law: Affordable Care Act
As a result of the change in
definition to “lawfully present” as proposed in CMS-9894-P, burden
hours are increasing by 4,101 (from 21,266,302 to 21,270,403).
States will be required to develop and code the changes to its
Medicaid or CHIP eligibility systems to correctly evaluate and
verify eligibility under the expanded definition. In addition,
current CMS Medicaid and CHIP SPA templates require the exclusion
of the DACA populations. We are evaluating whether we would require
all states that have elected the CHIPRA 214 option to submit SPAs
for Medicaid and CHIP in order to document the proposed regulation
changes to the definition of lawfully present in their state
plans.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
CMS-10410 - DACA Medicaid CHIP Supporting Statement.docx
CHIPRA 214 Option (§§ 435.4 and 457.320(c))