Identification Number:
HI 00815 TN 30
Intended Audience:See Transmittal Sheet
Originating Office:ORDP ODEPPIN
Title:State Enrollment of Eligible Individuals
Type:POMS Transmittals
Program:Medicare,Medicaid
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part HI – Health Insurance
Chapter 008 – Requirement for Entitlement and Termination
Subchapter 15 – State Enrollment of Eligible Individuals
Transmittal No. 30, 07/14/2020

Audience

PSC: BA, CA, CS, DS, ICDS, IES, ILPDS, IPDS, ISRA, PETE, RECONR, SCPS, TSA, TST;
OCO-OEIO: BET, BIES, CR, EIE, ERE, FCR, PETL, RECONR;
OCO-ODO: BET, BTE, CCE, CR, CST, CTE, CTE TE, DEC, DSE, LCC, PAS, PETE, PETL, RCOVTA, RECOVR;
FO/TSC: CS, CS TII, CSR, CTE, DRT, FR, OA, OS, RR, TA, TSC-CSR;

Originating Component

ODEPPIN

Effective Date

Upon Receipt

Background

This is a Quick Action Transmittal and no change to policy and procedure.

Summary of Changes

HI 00815.204 Form CMS-1957 (SSO Report of State Buy-In Problem)

Updated with correct pdf form 1957

HI 00815.204 Form CMS-1957 (SSO Report of State Buy-In Problem)

Click below to view the fillable CMS-1957 pdf.


HI 00815 TN 30 - State Enrollment of Eligible Individuals - 7/14/2020