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CMS Explains 75% Reimbursement for Translation/ Interpretation under CHIPRA , See pg. 9-10

Tuesday, September 08, 2009

Question 9: Can States claim an enhanced match for that portion of their actuarially-equivalent capitation rate in managed care contracts that represents the portion of the rate attributable to the cost of translation services (i.e., similar to family planning services)?

Answer: CHIP managed care programs operating under title XXI authority will receive the usual enhanced Federal matching rate for managed care program expenditures that States receive under title XXI. Section 201 of CHIPRA provides an enhanced matching rate of 75 percent for States that provide translation/interpretation services. States will be permitted to claim the enhanced match for that portion of the capitation rates paid to MCEs that can be documented as attributable to the cost of translation and interpretation services under the contract. CMS will work with States to develop an allowable methodology to collect the information necessary to claim this higher matching rate for the eligible portion of their managed care payment rates.

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