The Centers for Medicare and Medicaid Services has issued a final rule under which CMS will pay 90 percent of the cost for states to develop and upgrade computerized Medicaid and Children's Health Insurance Program (CHIP) enrollment systems.

CMS also will pay 75 percent of ongoing operational costs, an increase from the previous 50 percent rate. The rule further establishes performance standards for greater efficiency of the systems and a more user-friendly process for enrollment.

Medicaid enrollment is expected to significantly increase under provisions of the Affordable Care Act. The rule now is available at, and will be published April 19 in the Federal Register.

--Joseph Goedert


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