CMS State Medicaid Directors Letter: State Balancing Incentive Payments Program

This letter provides guidance to States on the implementation of Section 10202 of the Affordable Care Act, which establishes the “State Balancing Incentive Payments Program” hereafter referred to as the Balancing Incentive Program. This letter provides a high-level overview along with the required structural changes and timeframes for implementation. Also review the attached Section 10202 Initial Announcement.