While the Centers for Medicare and Medicaid Services has expanded the availability of federal funds to states for costs associated with changes to Medicaid eligibility IT systems, implementation challenges remain.

Through September 30, 2014, so-called Medicaid 90/10 funds for eligibility IT system changes—consisting of 90 percent federal match and 10 percent state share—totaled more than $1.8 billion, with the federal government contributing more than $1.6 billion and states contributing about $200 million. The Government Accountability Office reports that 34 states used 90/10 funds to implement full system replacements of their eligibility systems, while 17 states used these funds to implement modifications to their existing systems, according to data from CMS.

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