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US · guidance

CMS Pub. 100-24, ch. 5, § 5.5

Offset Against Medicaid Grant Award

activein force · 2026-08-25 – presentas-observed

CMS will offset the state’s Medicaid Grant Award for the interest assessed on amounts not paid

by the end of the grace period and past due Medicare premiums (i.e., premiums not paid by the

end of the month).

A subsequent SAS will show the amount of past due premiums collected through offset. The

state’s Medicaid Grant Award will reflect the amount of the offset.

The offset does not constitute a disallowance of FFP. The offset is an accounting adjustment

that reduces the amount owed by CMS to the state.

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
5ad0f6340030c5551203ea8f99168bf58efede0e3a7becbf45b01887a5ccb7f4
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