| Crosswalk for the Implementation of the Affordable Care Act of 2009 and Additional Revisions for Certification (CMS-21 & 21B) MBES/CBES |
| Section # on Current CMS-21 & 21B (8/31/11) |
Type of Change |
Rational for Change |
| CMS 21 Base and CMS 21B Forms |
New Linet item - Line 8A Drug Rebate Offset: this is a refund from the manufacturer for single source drugs, innovator multiple source drugs, and non-innovator multiple source drugs. |
Added pursuant to the Affordable care Act of 2009. |
| CMS 21 Base and CMS 21B Forms |
New Linet item - Line 25 Translation Interpretation: (Section 201 CHIPRA) Translation may be allowable as an administrative activity if it is not included and paid for as part of a direct medical service and if it is necessary for the proper and efficient administration of the State plan. However, in order for translation to be claimable as administration, it must be provided either by separate units or separate employees performing solely translation activities and it must facilitate access |
Added pursuant to the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). |
| CMS 21 Base and CMS 21B Forms |
New Linet item - Line 32A Increased Outreach and Enrollment to Indians: (Section 202 CHIPRA) These expenditures are NOT applicable to the 10% limit on Outreach and Certain other expenditures. |
Added pursuant to the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). |
| CMS 21 Base and CMS 21B Forms |
Line 34 Perm Administration: The 90% FMAP rate applies to PERM expenditures for services incurred on or after April 1, 2009. |
Added pursuant to the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). |
| CMS 21 Base and CMS 21B Forms |
New Linet item - Line 35A Citizenship Verification Technology (CVT) Development: These expenditures are claimed at 90% under Section 211 CHIPRA.
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Added pursuant to the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). |
| CMS 21 Base and CMS 21B Forms |
New Linet item - Line 35B Citizenship Verification Technology (CVT) Operation: These expenditures are claimed at 75% under Section 211 CHIPRA. |
Added pursuant to the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA). |
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