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.