Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template (CMS-10536)

The Social Security Act and CMS-2346-F provide 90% Federal financial participation (FFP) to states for the design, development and implementation of Medicaid eligibility determination systems, and 75% FFP for the operation and maintenance of those systems. To receive enhanced FFP for these systems, states must provide further detail on how the proposed system will address the standards and conditions identified in 42 CFR 433.112(b). In order to justify a request for enhanced FFP to support Medicaid eligibility determination system costs, states must provide sufficient information and documentation in an APD to CMS for review in accordance with 45 CFR 95.610. The proposed Implementation Advanced Planning Document (IAPD) Template will provide states with an outline of the information necessary to approve an enhanced FFP request.

The latest form for Medicaid Eligibility and Enrollment (EE) Implementation Advanced Planning Document (IAPD) Template (CMS-10536) expires 2021-05-31 and can be found here.