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Frequently Asked Questions

Frequently Asked Questions are used to provide additional information and/or statutory guidance not found in State Medicaid Director Letters, State Health Official Letters, or CMCS Informational Bulletins. The different sets of FAQs as originally released can be accessed below.

Showing 421 to 430 of 818 results

What should I do if I am experiencing connectivity issues, freezing, or slowness within MACPro?

Please provide the following information to the Help Desk:

  • Who is your Internet Service Provider (ISP) and IP address?
  • What is your location?
  • What component were you using (Quality Measures, Health Homes SPA, etc.)?
  • What is the exact time the problem occurred?
  • What exactly happened?
  • What screen were you on?
  • If an error message displayed, please provide a screenshot.
  • Did the problem resolve itself? Was a page refresh or application reboot required?

FAQ ID:92821

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What does a CMS EIDM Approver need to do if the user requesting access to MACPro is not on a list of users who should have access?

The CMS EIDM Approver would need to contact the Business Owner Point of Contact (POC) for the Medicaid and CHIP Programs that are in MACPro to request verification of the user requesting access. The Business Owner POC may need to get in touch with the relevant Medicaid/CHIP State Agency directly to verify that the user requesting access is valid.

FAQ ID:92826

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How do I change my password? / How do I reset my password if I forgot it?

As MACPro and the Enterprise Identity Management Portal (EIDM) are integrated, your EIDM credentials are what you use to log into MACPro. To reset your password for MACPro, go to the link https://portal.cms.gov  and click the blue link that says "Forgot Password" under the blue log in button on the right side of the screen. You must answer your challenge questions to be able to reset your password. If you are not sure of your challenge questions, please contact the MACPro Help Desk at macpro_helpdesk@cms.hhs.gov.

FAQ ID:92831

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What are the Implementation Guides for?

Implementation guides are documents that provide specific information on how to complete and review a specific section of MACPro as a State or CMS User.

FAQ ID:92836

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I received an unexpected error message, what should I do?

Take a screenshot (Ctrl+PrtScn [PC]) of the message you see and send an email to the MACPro Help Desk atMACPro_HelpDesk@cms.hhs.gov. (MACPro underscore Help Desk). Two ways to avoid unexpected error messages are:

  1. Never use the browser back and forth arrows to navigate through MACPro; and
  2. Do not remain inactive on MACPro for more than sixty minutes.
  3. Always log out when exiting MACPro or EIDM.
  4. If you are clicking a bookmarked link to access either MACPro or EIDM, try manually typing the link or copying and pasting the link.
  5. Try refreshing your screen or clearing your cache. You can clear your cache in your browser's Options. (If you need guidance on clearing your cache, please contact the MACPro Help Desk at MACPro_HelpDesk@cms.hhs.gov.)

FAQ ID:92841

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Does CMS MMIS certification support non-traditional claims processing models, such as using an Administrative Services Organization or "claims processing as a service" approach?

Yes. The certification checklist defines a set of business and technical requirements that a particular Medicaid function must meet. The checklists and criteria are agnostic as to whether the requirements are met by a system built within the Medicaid Agency, a Software-as-a-Service model, a cloud-hosted model, or an ASO model.

FAQ ID:94461

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Is MITA considered during milestone reviews?

Yes, our milestone review process is fully aligned with MITA. During each milestone review, CMS will verify that the state has considered MITA maturity during system definition, and whether the state is actively moving toward higher MITA maturity as defined in the state's latest MITA State Self-Assessment. Please see 42 CFR 433.112 (b)(11).

FAQ ID:94476

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I am a vendor not currently in the Medicaid space, but interested in learning more about opportunities for MMIS and/or E&E modular solutions. Whom can I contact for more information?

CMS is looking for new innovators in the Medicaid IT space. Please direct inquiries to: mmis_mes_certification@cms.hhs.gov.

FAQ ID:94416

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I am an existing MMIS vendor under contract with a state. Who do I contact with questions about the new certification process?

Please work with your state representatives, so that they can contact CMS regional offices for quick assistance with your questions. In addition, please review other FAQs related to this topic.

FAQ ID:94431

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Regulations at 42 CFR 438.104(b) (1) (IV) prohibit Medicaid managed care plans from seeking to influence enrollment in their plan in conjunction with the sale or offering of "private insurance." Does this prohibit a carrier that offers both a qualified health plan (QHP) and a Medicaid managed care plan from marketing both products?

The regulation only prohibits insurance policies that would be sold ""in conjunction with"" enrollment in the Medicaid managed care plan. Section 438.104 alone does not prohibit a Medicaid managed care plan from providing information about a Qualified Health Plans (QHP) to potential enrollees who could enroll in such a plan as an alternative to the Medicaid managed care plan due to a loss of Medicaid eligibility or to potential enrollees who may consider the benefits of selecting an Medicaid managed care plan that has a related QHP in the event of future eligibility changes. However, Medicaid managed care plans should consult their contracts and the State Medicaid agency to ascertain if other provisions exist that may prohibit or limit such activity.

Section 438.104(b)(1)(iv) implements a provision in section 1932(d)(2)(C) of the Social Security Act, titled ""Prohibition of Tie-Ins."" In promulgating regulations implementing this provision, CMS clarified that we interpreted it to preclude tying enrollment in the Medicaid managed care plan with purchasing (or the provision of) other types of private insurance. We do not intend the statutory prohibition of tie-ins to apply to a discussion of a possible alternative to the Medicaid managed care plan, which a QHP could be if the consumer is determined to be not Medicaid eligible or loses Medicaid eligibility.

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FAQ ID:94351

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