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Updates of Chapter 3 and the Appendices Chapter in Publication (Pub.) 100-15, Including Updates to the Medicaid Proactive Project Development Process

The purpose of this Change Request (CR) is to revise various sections within Chapter 3 and the Appendices Chapter in Pub. 100-15. The revisions include updates to the Medicaid Proactive Project Development process, in addition to the Medicaid Medical Review for Program Integrity Purposes processes. Additionally, the Analytic Findings Report Sample has been added to the Appendices Chapter.

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

Issue Date: August 28, 2025

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.