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Identifying Deceased Medicaid Enrollees

CMS is committed to partnering with states to ensure fiscal integrity for Medicaid and the
Children’s Health Insurance Program (CHIP). CMS is providing information to help states
understand the available sources to identify individuals enrolled in Medicaid and CHIP who may
be deceased. Early identification reduces the risk of making any unallowable Medicaid payment
for Fee-for-Service or capitation payments to Managed Care Organizations (MCOs), Prepaid
Inpatient Health Plans (PIHPs) or Prepaid Ambulatory Health Plans (PAHPs) for deceased
enrollees.

Download the Guidance Document

Final

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

Issue Date: April 25, 2024

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.