Title V and Medicaid: Legislation
Ongoing
and successful coordination between Title V and Title
XIX is supported by a series of Federal legislation,
regulation, and policies.
| Summary of Requirements for Title V
and Title XIX Coordination |
| Federal Legislation: the
Social Security Act |
| Title XIX |
Requires Medicaid agencies to:
- Enter
into IAAs [§1902(a)(11)(B)].
- Use Title V programs to provide
services [§1902(a)(11)(B)(i)].
- Reimburse Title V agencies for
services [§1902(a)(11)(B)(ii)].
- Coordinate information on immunizations [§1902(a)(11)(B)(iii)].
|
| Title V |
Requires Title V agencies to:
- Enter into
IAAs [§505(a)(5)(F)(ii)].
- Coordinate EPSDT services [§505(a)(5)(F)(i)].
- Provide
information to beneficiaries about services & providers [§505(a)(5)(E)].
- Identify, help enroll, and provide
services to beneficiaries [§505(a)(5)(F)(iv)].
|
| Federal Medicaid Regulations |
Title 42, Chapter IV, CFR
|
Requires Medicaid agencies to:
- Enter
into IAAs that outline collaboration with
Title V programs.
- Use Federal funds to reimburse
Title V programs for services.
|
| Federal Policy |
CMS’s State Medicaid Manual
|
Requires Medicaid agencies to:
- Enter
into IAAs with Title V, placing special emphasis
on payment arrangements.
- Coordinate with Title
V grantees, especially in regards to EPSDT
services.
- Reimburse Title V providers.
|
| MCHB’s Title V Guidance |
Requires Title V agencies to:
- Examine
and report on coordination activities with
Medicaid as well as numbers of Medicaid-eligible
people served and services provided.
|
