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“ (t '''''C''. DEPARTMENT OF HEALTH &. HUMAN SERVICES Office of Inspector General Washington, D. C. 20201 MAR 1 6 2006 TO: Abby Block, Director Center for Beneficiary Choices Centers for Medicare

Healthcare & Human Services (CMS), Office of the Inspector General's (OIL) preliminary investigation and a follow-up review of the Early Implementation of Medicaid (HIM) program. It reviews the following information: (1) Information on the scope and performance issues identified by both the OIL and OPM; (2) Information on the Medicaid expansion population; and (3) Information on the HIM's implementation. The memorandum also includes information from an independent evaluation report commissioned by the Office of Inspector General regarding the early implementation of the Medicaid expansion. The independent evaluation report can be found on the CMS website and is available in PDF format from: . The following information was obtained by the U.S. Department of Health and Human Services Office of Inspector General (OIL): The extent to which states continue to implement HIM after the implementation of Medicare Part D in 2006, and the extent to which states are implementing Medicaid expansions during the same time period. In November 2007, HHS issued regulations that expanded eligibility for Median insurance by removing outlier Medicare recipients who earned less than 40,000 per year; expanded Medicaid eligibility, by reducing the per capita payment rate for new Medicaid recipients (the so-called “bandwidth” provision), and expanding enrollment of young adults aged 18-25; and implemented new regulations for HIM, by reducing the maximum amount of HIM funding and establishing a performance ratio system that would determine how many HIM dollars are allocated to each state; by allowing states to require states to apply for state HIM grants if their HIM performance has not exceeded the performance ratio for the previous year; and by reducing the number of HIM grant categories. HHS also issued a letter of clarification that clarified and codified the rules on all the above actions. The initial performance ratio system was announced in December 2006. Although the actual performance of most Medicaid programs is often below the performance ratio specified in the statute, many states are now implementing an alternative performance incentive system that gives them a choice of one of five performance incentives, ranging from low to high: low (generally low-value grants); medium (generally medium-value grants); high (generally high-value grants); plus (generally maximum-value grants); or none.

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What is early implementation of mma?

Early implementation of mma refers to the initial steps taken to put the MMA (Mandatory Medical Attendant) policy into practice before it is fully enforced.

Who is required to file early implementation of mma?

Healthcare providers, hospitals, and medical institutions are required to file the early implementation of mma.

How to fill out early implementation of mma?

To fill out the early implementation of mma, healthcare providers need to provide detailed information about their implementation plan, including timelines, resources, and strategies.

What is the purpose of early implementation of mma?

The purpose of early implementation of mma is to facilitate a smooth transition and prepare healthcare providers for the full implementation of the MMA policy.

What information must be reported on early implementation of mma?

Healthcare providers must report their progress in implementing the MMA policy, any challenges faced, and the strategies used to address them.

When is the deadline to file early implementation of mma in 2023?

The deadline to file the early implementation of mma in 2023 is December 31, 2023.

What is the penalty for the late filing of early implementation of mma?

The penalty for the late filing of early implementation of mma may vary depending on the jurisdiction, but typically includes fines or other consequences determined by the regulatory authorities.

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