Medicaid; reductions in payments to the states--HCFA. Final rule

Area of Science:

• Health Policy and Administration
• Public Health Law

Background:

• Federal matching payments to states for Medicaid services were subject to reductions for fiscal years 1982-1984.
• These reductions were implemented under Section 2161 of the Omnibus Budget Reconciliation Act of 1981.

Purpose of the Study:

• To amend existing regulations governing Federal Medicaid matching payments.
• To incorporate changes mandated by Section 137(b) of the Tax Equity and Fiscal Responsibility Act of 1982.
• To address public comments and state consultations regarding the regulations.

Main Methods:

• Regulatory amendment process.
• Incorporation of legislative changes.
• Consideration of public and state feedback.

Main Results:

• The regulations implementing Section 2161 of the Omnibus Budget Reconciliation Act of 1981 are being revised.
• The amendments reflect adjustments to Federal matching payments for Medicaid services.
• The rule incorporates requirements from the Tax Equity and Fiscal Responsibility Act of 1982.

Conclusions:

• The regulatory framework for Federal Medicaid matching payments has been updated.
• These amendments ensure compliance with legislative changes and incorporate stakeholder input.
• The revised regulations aim to clarify and adjust the financial relationship between Federal and state governments for Medicaid services.