US · guidance
CMS Pub. 100-24, ch. 5, § 5.0
Introduction
The Centers for Medicare & Medicaid Services (CMS) administers Medicare premium billing
and collections related to the state payment of Medicare premiums for individuals dually eligible
for Medicare and Medicaid (also known as state buy-in). Federal law authorizes CMS to
establish due dates for premiums owed by state Medicaid agencies and to assess interest on
outstanding balances. See the Federal Claims Collection Act of 1966, Pub. L. 104-134, codified
at Title 31 USC 3711; 42 CFR § 401(f). CMS can recover amounts due from states, including
interest, by direct collection or through offsets against Medicaid payments to states (specifically,
State Medicaid Grants). See 42 CFR §§ 401.607 and 408.6(c)(4).
This chapter describes state buy-in billing and collections procedures for states.
History
(Rev. 4, Issued: 08-21-20, Effective: 09-08-20, Implementation: 09-08-20)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
ce25562a31550097fa5c72d505bce9d1e5faf5cc1da1fd27c3b46c30afc0610f
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