Page 26
Page 26 – CMCS Informational Bulletin Appendix A. Key Dates Section Provision Key Date(s) Subchapter A – Reducing Fraud and Improving Enrollment Processes Section 71101 Moratorium on Implementation of Rule Relating to Eligibility and Enrollment in Medicare Savings Programs Effective July 4, 2025 Ends: September 30, 2034 Section 71102 Moratorium on Implementation of Rule Relating to Eligibility and Enrollment for Medicaid, CHIP, and the Basic Health Program Effective: July 4, 2025 Ends: September 30, 2034 Section 71103 Reducing Duplicate Enrollment under the Medicaid and CHIP Programs January 1, 2027: Process established by states to obtain address information. January 1, 2027: State managed care contracts to include the requirement that covered entities and plans transmit enrollee address information. October 1, 2029: CMS to establish system to send applicant and enrollee data submissions. States to provide and utilize national enrollment data to prevent simultaneous enrollment in multiple states. Section 71104 Ensuring Deceased Individuals Do Not Remain Enrolled Applies beginning January 1, 2027 Section 71105 Ensuring Deceased Providers Do Not Remain Enrolled Applies beginning January 1, 2028 Section 71106 Payment Reduction Related to Certain Erroneous Excess Payments under Medicaid Applies beginning October 1, 2029 Section 71107 Eligibility Redeterminations Applies beginning January 1, 2027 Section 71108 Revising Home Equity Limit for Determining Eligibility for Long-Term Care Services under the Medicaid Program Applies beginning January 1, 2028 Section 71109 Alien Medicaid Eligibility Applies beginning October 1, 2026 Section 71110 Expansion FMAP for Emergency Medicaid Applies beginning October 1, 2026 Subchapter B – Preventing Wasteful Spending Section 71111 Moratorium on Implementation of Rule Relating to Staffing Standards for Long- Term Care Facilities under the Medicare and Medicaid Programs Effective: July 4, 2025 Ends: September 30, 2034 Section 71112 Reducing State Medicaid Costs Applies to applications made on or after January 1, 2027. Section 71113 Federal Payments to Prohibited Entities Effective July 4, 2025 Ends: July 3, 2026