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CMS Enforcement Discretion – Medicaid Access Monitoring Review Plans

The purpose of this informational bulletin is to inform states that the Centers for Medicare &
Medicaid Services (CMS) is exercising enforcement discretion during the COVID-19 public
health emergency (PHE) with regard to state submissions of updated Medicaid access monitoring
review plans (AMRPs) described in 42 CFR 447.203, and will delay enforcement of the
requirement under 42 CFR 447.203(b)(5)(i) that states submit updated AMRPs by October 1,

Download the Guidance Document


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: March 31, 2022

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.