Delegation of Authority for Multi-Program Medicaid and Child Welfare IT Approvals
AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.
This notice shifts to CMS the power to coordinate and approve state requests for federal funding tied to certain multi-program IT projects. The change matters for states seeking reimbursement for systems used in Medicaid, CHIP, child support, and child welfare, because CMS will now lead the combined review with other HHS divisions. It also narrows ACF's role: ACF keeps authority only for multi-program requests that involve titles IV-B, IV-D, and IV-E alone, while the prior broader delegation is partly revoked. States and HHS staff handling APD submissions should use the new CMS-led process immediately.
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Key Changes
- CMS now coordinates and approves multi-program APD requests that include Medicaid and CHIP funding requests.
- ACF's earlier broader delegation is partly revoked, but ACF keeps authority for Title IV-B, IV-D, and IV-E-only multi-program requests.
- The new delegation takes effect immediately and can be redelegated only down to a specified CMS director level.
Obligations
What this law requires
CMS must coordinate and approve multi-program state APD requests for Federal Financial Participation involving Title XIX or Title XXI expenditures when those requests are submitted with one or more Title IV-B, IV-D, or IV-E program requests.
State APD submissions seeking federal funding for automated data processing equipment or services that combine Medicaid or CHIP requests with one or more IV-B, IV-D, or IV-E requests must use the CMS-led coordinated review process.
ACF may coordinate review and grant approval only for multi-program APD requests that involve Titles IV-B, IV-D, and IV-E alone, without Title XIX or XXI requests.
The prior delegation to ACF dated November 8, 2017 is rescinded to the extent it authorized ACF to coordinate review and approve multi-program APDs that included Title XIX and XXI requests; those matters are no longer under ACF's authority.
CMS may redelegate the delegated APD authority, but not below the level of the Director, Division of Performance and Organizational Programs, Office of Human Capital, CMS or its successor.