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Table of Contents
The products and systems in the Medicaid and CHIP Business Information Solution (MACBIS) exist to facilitate the submission and review of state information to the Centers for Medicare and Medicaid Services (CMS), as well as produce usable data. These tools and systems are critical to the Center for Medicaid and CHIP Services (CMCS) fulfilling its responsibilities to:
Given the important role MACBIS plays in the overall success of the Medicaid program and CHIP, it is important for staff and contractors working on MACBIS to have an understanding of the programs. This includes:
This page has links to various internal and external resources that provide foundational information about Medicaid and CHIP, as well as some that provide background on more specific information that might be relevant for certain MACBIS teams. For example, the MC Review team may want to review the information on managed care, and the MACPRO team may want to review the information about state plans and waivers.
This slide deck from Georgetown University contains a good overview of the Medicaid and CHIP programs. It provides a solid foundation about:
Governing policies and documentation for Medicaid and CHIP are publicly available and can be found on Medicaid.gov.
Information on state-level programs, eligibility, and quality of care are also available on the State Overviews page. Using the dropdown menu, you may select a state to view its associated information and documentation.
eRegulations is an internal CMCS-only website that helps users find, read, and understand regulations and related sub-regulatory guidance in context and with less burden. eRegulations organizes together regulations, sub-regulatory guidance, and other related policy materials. This site is internal-only and not to be shared with the public or state staff.