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Feb 9 -- The Centers for Medicare & Medicaid Services (CMS) invites public comments by April 9, 2024 regarding CMS–10529: Quarterly Medicaid and CHIP Budget and Expenditure Reporting.

The Medicaid and CHIP Financial System (MACFin) is a financial reporting system that produces budget estimate statements for the Medical Assistance and Children’s Health Insurance Program (CHIP) reported of the Forms CMS-37 and CMS-21B. The Medicaid and CHIP Budget and Expenditure System (MBES/CBES) is a financial reporting system that produces expenditure statements for Medical Assistance and CHIP reported of the Forms CMS-64 and CMS-21. All forms are to be filed on a quarterly basis and need to be certified by the states to the CMS.

MACFin is a web-based application that states and territories use to report budgeted expenditures for Medicaid and CHIP to CMS, as required for the implementation of Medicaid and CHIP per Titles XIX and XXI of the Act. MBES/CBES is a web-based application that states and territories use to report actual expenditures for Medicaid and CHIP to CMS, as required for the implementation of Medicaid and CHIP per Titles XIX and XXI of the Act. The MACFin and MBES/CBES use the information from each state and territory to compute the amount of FFP CMS will provide to the state or territory to fund program operations. The MACFin and MBES/CBES also store the states or territories historical budget and expenditure records for data analysis purposes.

State Budget & Expenditure Reporting for Medicaid and CHIP: https://www.medicaid.gov/medicaid/financial-management/state-expenditure-reporting-medicaid-chip/index.html
Draft data collection instruments and technical documentation: https://www.cms.gov/regulations-and-guidance/legislation/paperworkreductionactof1995/pra-listing-items/cms-10529
FRN: https://www.federalregister.gov/d/2024-02662 #2

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