In anticipation of the passage of the Affordable Care Act, CMS developed and codified a policy and financing structure designed to provide States with tools needed to achieve the immediate and substantial investment in information technology systems that is needed in order to ensure that Medicaid systems will be in place in time for the January 1, 2014 launch date of the new Affordable Insurance Exchanges as well as the expansion of Medicaid eligibility.

Eligibility and Enrollment Systems

Providing federal funding to assist states with streamlining and upgrading Medicaid eligibility systems is critical to assuring a simple and seamless enrollment experience for consumers who qualify for Medicaid or CHIP or who are shopping for health insurance in the Affordable Insurance Exchanges.

• Final Rule 42 CFR Part 433 "Medicaid Program: Federal Funding for Medicaid Eligibility Determination and Enrollment Activities" - 4/19/11
• CMCS Informational Bulletin - 4/14/11
• Enhanced Funding Requirements: Seven Conditions and Standards 1.0 - 4/2011
• Enhanced Funding Requirements: Expedited Advance Planning Document Checklist 1.0 - 4/2011
• Guidance for Exchange and Medicaid Information Technology (IT) Systems 2.0 - 5/2011
• Tri-Agency Letters
  • 1/23/12-Cost Allocation of Information Technology Systems 
  • 8/10/11-Cost Allocation of Information Technology Systems
• CMCS Informational Bulletin - 8/31/11
• Supplemental Guidance on Cost Allocation for IT Systems - 10/2012

Finder.HealthCare.gov: Establishing a Website (portal) through which individuals and small businesses can obtain information about the insurance coverage options that may be available to them in their state. This new resource is now available at Finder.HealthCare.gov.

• Section 1103 under Title I Quality, Affordable Health Care For All Americans
• CMCS Informational Bulletin - 4/21/10

CMS is continuing to work to provide ongoing guidance to give States the support they need to enroll millions of newly eligible individuals through multiple channels; operate seamlessly with newly authorized Affordable Insurance Exchanges; and produce notices and communications to applicants and beneficiaries concerning the process, outcomes, and their rights to dispute or appeal.