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Ensuring Timely and Accurate Medicaid and CHIP Eligibility Determinations at Application

CMS urges states to review and improve their Medicaid and CHIP application processing timeframes to ensure compliance, timely coverage, and care, providing immediate and longer-term strategies for addressing application backlogs.

Organizations: Centers for Medicare and Medicaid Services (CMS), U.S. Department of Health and Human Services (HHS)

Author: Centers for Medicare and Medicaid Services (CMS)

Published Year: 2024

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To ensure compliance with federal requirements and support timely coverage and care, CMS urges all states to review their current timeframes for processing Medicaid and CHIP applications and implement appropriate strategies to improve timeliness. CMS has identified a number of immediate and longer-term strategies that states can implement to improve application processing timeframes and address application backlogs.