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Prompt Pay Requirements and Claims Processing Requirements

Guidance for : This letter provides guidance with respect to the �prompt pay� requirements contained in section 5001(f)(2) of the American Recovery and Reinvestment Act of 2009 (ARRA, Public Law 111-5), under which States must comply with timely claims processing requirements in the Medicaid program, or potentially lose their eligibility for the increased Federal medical assistance percentage (FMAP) for certain expenditures. More detailed technical guidance is attached to this letter.

Download the Guidance Document

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

Issue Date: July 30, 2009

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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.