MES Certification Navigator
EE9

Notices

CMS-required outcome

Individuals receive system-generated timely automated (versus manual) eligibility notices and request for additional information for eligibility determination, as necessary.

Default metrics
  • Percentage of notices automatically generated and sent
  • Types of notices that are automated.
  • Types of notices that are manually generally.
  • Percentage of terminations due to lack of response to a notice
Regulatory sources
  • For all states, District of Columbia, and territories:
  • - 42 CFR 431.210-214(range cite; opens 431.210)
  • For states, District of Columbia, Northern Mariana Islands, and American Samoa:
  • - 42 CFR 435.917-918(range cite; opens 435.917)
  • For Guam, Puerto Rico, and the Virgin Islands:
  • - 42 CFR 436.901

Other Eligibility and Enrollment outcomes