09/16/2011
1915 c Waiver Instructions and Technical Guide Regarding Employment
Waivers
http://www.cms.gov/CMCSBulletins/downloads/CIB-9-16-11.pdf
Informational Bulletin
08/31/2011
Medicaid and CHIP Eligibility, Exchange Eligibility & Employer Standards; Health Insurance Premium Tax Credit; Disallowance of Claims for FFP, Maintenance of Effort, Cost allocation for Information Technology Systems, Emergency Psychiatric Demonstration
Affordable Care Act (ACA), Eligibility, Children's Health Insurance Program, Data & Systems, Provider Payments
https://www.cms.gov/CMCSBulletins/downloads/cib-8-31-11.pdf
Informational Bulletin
07/20/2011
Program Integrity for Medicaid Eligibility Workers, ICD-10 Implementation
Program Integrity
https://www.cms.gov/CMCSBulletins/downloads/CIB-7-20-11.pdf
Informational Bulletin
07/13/2011
Test Financial Models for Medicare-Medicaid Enrollees, Affordable Insurance Exchanges NPRM, Home Health Services NPRM, PRA Package, provider-related training costs, Pharmacy Pricing Survey
Medicaid-Medicare Issues, Affordable Care Act (ACA), Prescription Drugs, Program Administration, Benefits
https://www.cms.gov/CMCSBulletins/downloads/CIB-7-13-11.pdf
Informational Bulletin
06/29/2011
Tobacco Cessation Services; Annual Re-determination of Medicare Part D Low-Income Subsidy
Medicaid-Medicare Issues, Benefits
https://www.cms.gov/CMCSbulletins/downloads/Info-Bulletin-06-29-11.pdf
Informational Bulletin
06/21/2011
Medicaid DSH Audit and Report Info DSH Redistribution State Plan Amendments (SPA)
Financing & Reimbursement
https://www.cms.gov/CMCSbulletins/downloads/cmcs_informational_bulletin_dsh.pdf
Informational Bulletin
06/17/2011
Provider Preventable Conditions Final Rule; HIV Coverage; Same Sex Partners and Medicaid Liens, Transfer of Assets, Estate Recovery; Pre-Existing Condition Insurance Plan; Electronic Health Record (HER) Incentive Program, tribal clinics, FQHCs
Eligibility, Benefits, Data & Systems
https://www.cms.gov/CMCSBulletins/downloads/Info-Bulletin-6-17-11.pdf
Informational Bulletin
06/16/2011
State Option to Enroll Tuberculosis (TB) Infected Individuals into Medicaid
Eligibility
https://www.cms.gov/CMCSBulletins/downloads/Info-Bulletin-TB.pdf
Informational Bulletin
06/01/2011
Freedom of Choice of Providers; Exchange / Medicaid Information Technology, CHIPRA Quality Measures
Affordable Care Act (ACA), Data & Systems, Quality, Children's Health Insurance Program, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/6-1-11-Info-Bulletin.pdf
Informational Bulletin
05/31/2011
Termination of Provider Participation under Medicaid if Terminated under Medicare""
Affordable Care Act (ACA), Program Integrity
https://www.cms.gov/CMCSBulletins/downloads/6501-Term.pdf
Informational Bulletin
05/27/2011
Access on Covered Medicaid Services NPRM, Health Information Exchange, Concurrent Hospice Care for Children draft preprint
Financing & Reimbursement, Data & Systems, Affordable Care Act (ACA), Benefits
https://www.cms.gov/CMCSBulletins/downloads/Info-Bulletin-5-27-11.pdf
Informational Bulletin
05/11/2011
Access to Medicare Data to Coordinate Care for Dual Eligibles
Medicaid-Medicare Issues, Data & Systems
https://www.cms.gov/CMCSBulletins/downloads/Coordinated-Care-Info-Bulletin.pdf
Informational Bulletin
04/26/2011
National Correct Coding Initiative; Translation & Interpretation Services; National Background Check Program for Patient Protection Solicitation, Oral Health Strategy
Affordable Care Act (ACA), Benefits, Financing & Reimbursement
https://www.cms.gov/CMCSBulletins/downloads/Info-Bulletin-4-26-11.pdf
Informational Bulletin
04/14/2011
Develop and Upgrade Eligibility & Enrollment Information Technology Systems; Reduce Barriers to Community-Based Care; Dual Eligibles Care Delivery
Affordable Care Act (ACA), Medicaid-Medicare Issues, Data & Systems, Long-Term Services & Supports
https://www.cms.gov/CMCSBulletins/downloads/Info-Bulletin-4-14-11.pdf
Informational Bulletin
03/30/2011
Makena, FDA News Release compounded hydroxyprogesterone caproate
Prescription Drugs
https://www.cms.gov/CMCSBulletins/downloads/Makena-CMCS-Info-Bulletin-03-30-2011.pdf
Informational Bulletin
03/25/2011
Suspension of Medicaid Payments Based Upon Pending Investigations of Credible Allegations of Fraud
Affordable Care Act (ACA), Program Integrity
https://www.cms.gov/CMCSBulletins/downloads/payment-suspensions-info-bulletin-3-25-2011.pdf
Informational Bulletin
03/25/2011
CHIPRA Performance Bonus; Freestanding Birth Centers; Dental Services in FQHCs
Children's Health Insurance Program, Affordable Care Act (ACA), Benefits, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/CMCS-Info-Bulletin-March-2011-Final.pdf
Informational Bulletin
03/05/2011
Technical Assistance for CHIPRA Performance Bonuses for FY 2011
Children's Health Insurance Program, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/PB-2011-3-3-11.pdf
Informational Bulletin
02/28/2011
Community First Choice NPRM; Money Follows the Person Program; Prevention Grants; Maintenance of Effort; Virtual Meetings & Webinars
Affordable Care Act (ACA), eligibility, Long-Term Services & Supports
https://www.cms.gov/CMCSBulletins/downloads/2-28-11-Recent-Developments-In-Medicaid.pdf
Informational Bulletin
02/16/2011
CHIPRA Quality Measures; CHIP Allotment Methodology and FY2011 CHIP Allotments; Health Care-Acquired Conditions
Affordable Care Act (ACA), CHIP, Quality, Financing & Reimbursement, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/02-16-2011-Recent-Policy-Developments.pdf
Informational Bulletin
02/04/2011
Medicaid State Technical Assistance Teams and Virtual Meeting Series
Program Administration
https://www.cms.gov/CMCSBulletins/downloads/02-04-2011-MSTAT.pdf
Informational Bulletin
02/03/2011
CHIPRA Anniversary; Core Set of Child Health Quality Measures
Children's Health Insurance Program, Quality, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/02-03-2011-CHIPRA.pdf
Informational Bulletin
02/01/2011
Tax Relief, Unemployment Insurance Reauthorization and Job Creation Act of 2010 - Implications
Eligibility, Children's Health Insurance Program
https://www.cms.gov/CMCSBulletins/downloads/02-01-2011-Tax-Disregard.pdf
Informational Bulletin
12/30/2010
Federal Coordinated Health Care Office; Adult Quality Measures; Prohibition on Payments to Institutions Outside the United States; Preventive and Obesity-Related Services Report to Congress; Children's Health Care Quality Report to Congress; High Risk Pool Grant Program-FY08 & FY09; Extenders Act; Medicare's New End Stage Renal Disease Prospective Payment System Impact on Dual Eligible ESRD Beneficiaries
Medicaid-Medicare Issues; Quality; Children's Health Insurance Program
https://www.cms.gov/CMCSBulletins/downloads/12-30-2010-Omnibus-Bulletin.pdf
Informational Bulletin
12/27/2010
FY 2010 CHIPRA Performance Bonuses
Children's Health Insurance Program, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/12-27-2010-CHIPRA-Performance-Bonuses.pdf
Informational Bulletin
12/22/2010
Web-Based SPA Submission Process for Health Homes for Medicaid Enrollees with Chronic Conditions
Delivery System, Program Administration
https://www.cms.gov/CMCSBulletins/downloads/CIB-12-22-10.pdf
Informational Bulletin
12/10/2010
State Demonstrations to Integrate Care for Dual Eligible Individuals
Medicaid-Medicare Issues
https://www.cms.gov/CMCSBulletins/downloads/12-10-2010-Federal-Coordinated-Health-Care-Office.pdf
Informational Bulletin
11/10/2010
Skilled Nursing Facility/Nursing Facility MDS 3.0 and Opportunities for Coordination Related to Section Q Implementation
Long-Term Services & Supports
State Medicaid Director Letter
Informational Bulletin
11/09/2010
CCIIO Funding Opportunity Announcement; CCIIO/CMS Exchange and Medicaid Information Technology Systems; Federal Funding for Medicaid Eligibility Determination & Enrollment Activities; Recovery Audit Contractors (RACs); Political Subdivisions; Five Year Waiver Renewal and Approval Periods; Withdrawal of Average Manufacturer's Price Regulation; Medicare Part D Donut Hole Rebates
Eligibility, Data & Systems, Waivers, Affordable Care Act (ACA), Medicaid-Medicare Issues
https://www.cms.gov/CMCSBulletins/downloads/11-09-2010-Recent-Developments.pdf
Informational Bulletin
11/02/2010
Issuance of New Birth Certificates for People Born in the Commonwealth of Puerto Rico-Update
Eligibility
https://www.cms.gov/CMCSBulletins/downloads/11-02-2010-Puerto-Rico-birth-certificates.pdf
Informational Bulletin
10/01/2010
Puerto Rico Birth Certificates; State Plan Amendment Review Process; CHIPRA Quality Report; Recovery Audit Contractors (RACs); CHIPRA Performance Bonuses; Prescription Drugs; Contract IDIQ Award
Eligibility, Children's Health Insurance Program, Program Administration, Program Integrity, Prescription Drugs, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/10-01-2010-Recent-Policy-Developments.pdf
Informational Bulletin
09/20/2010
Issuance of New Birth Certificates for Residents of the Commonwealth of Puerto Rico
Eligibiility
https://www.cms.gov/CMCSBulletins/downloads/09-20-2010-Puerto-Rico-birth-certificates.pdf
Informational Bulletin
09/16/2010
Review and Approval Process for Section 1115 Waivers
Affordable Care Act (ACA), Waivers
http://www.cms.gov/CMCSBulletins/downloads/CIB-9-16-10.pdf
Informational Bulletin
09/13/2010
Second Opportunity National Background Check Program Funding
Affordable Care Act (ACA), Survey & Certification
https://www.cms.gov/CMCSBulletins/downloads/09-13-2010-Criminal-Background-Checks.pdf
Informational Bulletin
09/10/2010
Hospice Care for Children; Connecting Kids to Coverage Challenge; Average Manufacturer Price Definition; National Correct Coding Initiative; PERM Final Rule; PERM Guidance; FMAP Extension; HITECH
Affordable Care Act (ACA), Children's Health Insurance Program, Outreach & Enrollment, Financing & Reimbursement, Data & Systems
https://www.cms.gov/CMCSBulletins/downloads/09-10-2010-Recent-Policy-Developments.pdf
Informational Bulletin
09/08/2010
CHIPRA Performance Bonus Payments-FFY 2010
Children's Health Insurance Program, Financing & Reimbursement, CHIPRA
State Medicaid Director Letter
Informational Bulletin
09/08/2010
Home Health NPRM
Affordable Care Act (ACA), Long-Term Services & Supports, Benefits
https://www.cms.gov/CMCSBulletins/downloads/09-08-2010-Home-Health.pdf
Informational Bulletin
07/13/2010
State Survey-Health Care-Acquired Conditions; Civil Money Penalties for Nursing Homes NPRM; Extended Period for Collection of Provider Overpayments
Affordable Care Act (ACA), Financing & Reimbursement, Long-Term Services & Supports; Survey & Certification
https://www.cms.gov/CMCSBulletins/downloads/07-13-2010-New-Policy-Developments.pdf
Informational Bulletin
07/12/2010
Civil Money Penalties for Nursing Homes NPRM
Affordable Care Act (ACA); Long-Term Services & Supports; Survey & Certification
https://www.cms.gov/CMCSBulletins/downloads/07-12-2010-CMP.pdf
Informational Bulletin
07/09/2010
Lawfully Residing Children and Pregnant Women Coverage; Increased Federal Funding for Translation & Interpretation Services; State Option for Family Planning Services; Benchmark Plans
Affordable Care Act (ACA); Children's Health Insurance Program; Eligibility; Outreach & Enrollment; Financing & Reimbursement; Benefits, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/07-09-2010-CHIPRA-and-ACA.pdf
Informational Bulletin
07/01/2010
Health Insurance Portal Launch
Affordable Care Act (ACA), Data & Systems, Outreach & Enrollment
https://www.cms.gov/CMCSBulletins/downloads/07-01-2010-Portal-Launch.pdf
Informational Bulletin
06/21/2010
Political Subdivisions; PARIS; Third Party Liability;
Affordable Care Act (ACA), Financing & Reimbursement, Eligibility,
https://www.cms.gov/CMCSBulletins/downloads/06-21-2010-Recent-Medicaid-Policy.pdf
Informational Bulletin
06/10/2010
National Criminal Background Check Federal Matching Grants Solicitation Notification
Affordable Care Act (ACA), Survey & Certification
https://www.cms.gov/CMCSBulletins/downloads/06-10-2010-Criminal-Background-Checks.pdf
Informational Bulletin
06/01/2010
Notification of Upcoming National Criminal Background Check Federal Matching Grants
Affordable Care Act (ACA), Survey & Certification
https://www.cms.gov/CMCSBulletins/downloads/06-01-2010-Criminal-Background-Checks.pdf
Informational Bulletin
05/27/2010
Medicaid Premiums and Cost Sharing Final Rule
Cost Sharing
https://www.cms.gov/CMCSBulletins/downloads/05-27-2010-Cost-Sharing.pdf
Informational Bulletin
05/21/2010
Health Insurance Portal
Affordable Care Act (ACA), Data & Systems
https://www.cms.gov/CMCSBulletins/downloads/05-21-2010-Portal.pdf
Informational Bulletin
04/29/2010
State Flexibility for Medicaid Benefit Packages Final Rule
Benefits, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/04-29-2010-Medicaid-Benefits.pdf
Informational Bulletin
04/27/2010
""Text 4 Baby"" Initiative
Outreach & Enrollment
https://www.cms.gov/CMCSBulletins/downloads/04-27-2010-Text4Baby.pdf
Informational Bulletin
03/02/2010
Model Notice for Employers to use Regarding Premium Assistance under Medicaid or CHIP
Children's Health Insurance Program, Eligibility, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/03-02-2010-Premium-Assistance.pdf
Informational Bulletin
02/25/2010
Opportunity to Disregard Making Work Pay and Other Income Tax Refunds and Refundable Tax Credits
Eligibility
https://www.cms.gov/CMCSBulletins/downloads/02-25-2010-Tax-Credits.pdf
Informational Bulletin
02/24/2010
CHIPRA Grant Solicitation for State CHIP Porgrams
Children's Health Insurance Program, Financing & Reimbursement, CHIPRA
https://www.cms.gov/CMCSBulletins/downloads/02-24-2010-CHIPRA-Grants.pdf
Informational Bulletin
02/04/2010
Children's Health Insurance Program Reauthorization Act (CHIPRA) Anniversary
Children's Health Insurance Program, CHIPRA
https://www.cms.gov/CMCSBulletins/Downloads/02-04-2010-CHIPRA.pdf
Informational Bulletin
01/29/2010
Increase in States' Qualifying Individuals (QI) Allotments for FY 2010
Eligibility, Medicaid-Medicare Issues; Financing & Reimbursement
https://www.cms.gov/CMCSBulletins/Downloads/01-29-2010-QI.pdf
Informational Bulletin
01/27/2010
Individuals Arriving from Haiti for Medical Attention
Eligibility, Benefits
https://www.cms.gov/CMCSBulletins/downloads/01-27-2010-Haiti.pdf
Informational Bulletin
12/05/1994
Coverage of Prescription Drugs for HIV/AIDS
Prescription Drugs, Benefits
https://www.cms.gov/smdl/downloads/smd120594.pdf
State Medicaid Director Letter
12/20/1994
Allowable Administrative Costs
Financing & Reimbursement
https://www.cms.gov/SMDL/downloads/SMD122094.PDF
State Medicaid Director Letter
09/10/1995
HIV/AIDS Education, Counseling, and Testing for Pregnant Women
Benefits
https://www.cms.gov/smdl/downloads/smd091095.pdf
State Medicaid Director Letter
06/19/1996
Coverage of Prescription Drugs for HIV/AIDS
Prescription Drugs, Benefits
https://www.cms.gov/smdl/downloads/smd061996.pdf
State Medicaid Director Letter
12/26/1996
Coverage of Non-Emergency Transportation
Benefits
https://www.cms.gov/SMDL/downloads/Non-EmergencyTransportation.pdf
State Medicaid Director Letter
02/05/1997
Section 1115 Waivers Welfare Reform Demonstration Projects
Eligibility, Waivers
https://www.cms.gov/smdl/downloads/SMD020597.pdf
State Medicaid Director Letter
02/06/1997
Eligibility Redetermination Regulation and Timeframe Flexibility
Eligibility
https://www.cms.gov/smdl/downloads/SMD020697.pdf
State Medicaid Director Letter
04/21/1997
Medicaid Eligibility Quality Control (MEQC) errors
Eligibility, Medicaid-Medicare Issues, Program Integrity
https://www.cms.gov/smdl/downloads/SMD042197.pdf
State Medicaid Director Letter
04/22/1997
Eligibility Determination Clarification
Eligibility
https://www.cms.gov/smdl/downloads/SMD042297.pdf
State Medicaid Director Letter
05/01/1997
Medicaid Managed Care Waivers (1915 (b)) Submission Guidelines
Waivers, Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD050197.pdf
State Medicaid Director Letter
05/02/1997
INS Naturalization and Eligibility
Eligibility
https://www.cms.gov/smdl/downloads/SMD050297.pdf
State Medicaid Director Letter
05/02/1997
Initial SSI Payment One Month Gap Impact on Eligibility
Eligibility
https://www.cms.gov/smdl/downloads/SMD050297b.pdf
State Medicaid Director Letter
05/14/1997
Administrative Expenditures Reporting
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD051497.pdf
State Medicaid Director Letter
06/09/1997
Third Party Liability (TPL) Tort Claims
Eligibility
https://www.cms.gov/smdl/downloads/SMD060997.pdf
State Medicaid Director Letter
06/11/1997
HIV Viral Load Tests Coverage
Benefits
https://www.cms.gov/smdl/downloads/SMD061197.pdf
State Medicaid Director Letter
06/25/1997
Home and Community-Based Services Waivers Consumer Participation
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD062597.pdf
State Medicaid Director Letter
08/27/1997
Children's Health Insurance Program Overview
CHIP
https://www.cms.gov/smdl/downloads/SMD082797.pdf
State Medicaid Director Letter
09/15/1997
CHIP Application Template
CHIP
https://www.cms.gov/smdl/downloads/SMD091597.pdf
State Medicaid Director Letter
09/17/1997
Obstetrical and Pediatric Payment Rate Requirements Eliminated
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD091797.pdf
State Medicaid Director Letter
09/22/1997
1931 Eligibility Group
Eligibility
https://www.cms.gov/smdl/downloads/SMD092297.pdf
State Medicaid Director Letter
10/01/1997
Religious Non-Medical Health Care Institutions Coverage
Medicaid-Medicare Issues, Benefits
https://www.cms.gov/smdl/downloads/SMD100197.pdf
State Medicaid Director Letter
10/06/1997
Expands Option to Guarantee Eligibility for Individuals in Managed Care
Eligibility, Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD100697.pdf
State Medicaid Director Letter
10/09/1997
Voluntary Contribution and Provider-Specific Tax Amendments
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD100997.pdf
State Medicaid Director Letter
10/10/1997
Expanding Coverage for Children-Optional Targeted Low-Income Children, Presumptive Eligibility, Continuous Eligibility
CHIP, Eligibility
https://www.cms.gov/smdl/downloads/SMD101097.pdf
State Medicaid Director Letter
10/14/1997
Home and Community-Based Waivers Habilitation Services
Long-Term Services & Supports, Benefits
https://www.cms.gov/smdl/downloads/SMD101497.pdf
home and community-based services (HCBS)
State Medicaid Director Letter
11/13/1997
Children Losing SSI Payment Due to Eligibility
Eligibility
https://www.cms.gov/smdl/downloads/SMD111397.pdf
State Medicaid Director Letter
11/24/1997
State Emergency Health Services Funding
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD112497b.pdf
State Medicaid Director Letter
11/24/1997
Eligibility for Working Individuals with Disabilities
Eligibility
https://www.cms.gov/smdl/downloads/SMD112497c.pdf
State Medicaid Director Letter
11/24/1997
Medicare Cost-Sharing for Qualified Medicare Beneficiaries
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/SMD112497.pdf
State Medicaid Director Letter
12/02/1997
Children's Health Insurance Program (CHIP) State Plan Process
CHIP
https://www.cms.gov/smdl/downloads/SMD120297.pdf
State Medicaid Director Letter
12/08/1997
Medicaid Eligibility Immigrants
Eligibility
https://www.cms.gov/smdl/downloads/SMD120897.pdf
State Medicaid Director Letter
12/08/1997
Children's Health Insurance Program (CHIP) Technical Implementation
CHIP
https://www.cms.gov/smdl/downloads/SMD120897b.pdf
State Medicaid Director Letter
12/10/1997
Payment Rate and Payment Methodology Public Process
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD121097.pdf
State Medicaid Director Letter
12/10/1997
Disproportionate Share Hospital (DSH) Allotments Methodology
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD121097b.pdf
State Medicaid Director Letter
12/15/1997
Payment of Medicare Part B premiums for Qualifying Individuals (QIs)
Eligibility, Medicaid-Medicare Issues
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD121597.pdf
List and Definition of Dual Eligibles
https://www.cms.gov/smdl/downloads/SMD121597c.pdf
Preprint
https://www.cms.gov/smdl/downloads/SMD121597d.pdf
State Medicaid Director Letter
12/15/1997
Electronic Submission of Claims Data and Medicaid Statistical Information System (MSIS)
Data & Systems
https://www.cms.gov/smdl/downloads/SMD121597b.pdf
State Medicaid Director Letter
12/17/1997
Combat Services and Supplies Waste Fraud and Abuse
Program Integrity
https://www.cms.gov/smdl/downloads/SMD121797.pdf
State Medicaid Director Letter
12/17/1997
Managed Care Plan Benefits
Managed Care Delivery System, Benefits
https://www.cms.gov/smdl/downloads/SMD121797b.pdf
State Medicaid Director Letter
12/17/1997
Periodic Inspections of Care Requirement for ICF/MRs and Mental Hospitals Eliminated
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD121797d.pdf
Balanced Budget Act of 1997, intermediate care facility for the mentally retarded
State Medicaid Director Letter
12/17/1997
Mandatory Managed Care Enrollment
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD121797c.pdf
State Medicaid Director Letter
12/19/1997
Children's Health Insurance Program (CHIP) Implementation Conference Announcement
CHIP
https://www.cms.gov/smdl/downloads/SMD121997.pdf
State Medicaid Director Letter
12/30/1997
Managed Care Beneficiary Protections
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD123097b.pdf
State Medicaid Director Letter
12/30/1997
Marketing and Enrollment for Managed Care Plans
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD123097.pdf
State Medicaid Director Letter
01/13/1998
Physician Incentive Plan
Delivery System
https://www.cms.gov/smdl/downloads/smd011398.pdf
State Medicaid Director Letter
01/14/1998
Managed Care Entity Definitions and Requirements
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD011498.pdf
State Medicaid Director Letter
01/20/1998
Medicaid Management Information System (MMIS) Systems Performance Review (SPR)
Data & Sytems
https://www.cms.gov/smdl/downloads/smd012098b.pdf
State Medicaid Director Letter
01/20/1998
Factor VIII or IX Concentrate Blood Products Litigation HIV/AIDS
Eligibility
https://www.cms.gov/smdl/downloads/SMD012098c.pdf
State Medicaid Director Letter
01/20/1998
Managed Care Mental Health Benefits
Managed Care Delivery System, Benefits
https://www.cms.gov/smdl/downloads/SMD012098d.pdf
State Medicaid Director Letter
01/20/1998
Managed Care Federal Financial Participation (FFP) External Review
Managed Care Delivery System, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD012098e.pdf
State Medicaid Director Letter
01/20/1998
Fraud and Abuse
Program Integrity
https://www.cms.gov/smdl/downloads/smd012098a.pdf
State Medicaid Director Letter
01/21/1998
Managed Care Primary Care Case Management (PCCM) Services
Managed Care Delivery System, Benefits
https://www.cms.gov/smdl/downloads/SMD012198.pdf
State Medicaid Director Letter
01/21/1998
Managed Care Enrollment and Disenrollment Requirements
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/smd012198b.pdf
State Medicaid Director Letter
01/23/1998
CHIP Outreach and Enrollment
CHIP, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/smd012398.pdf
State Medicaid Director Letter
01/27/1998
Instructions for Reporting Coverage Group-2082 Statistical Report
Eligibility, Data & Systems, CHIP
https://www.cms.gov/smdl/downloads/smd012798.pdf
State Medicaid Director Letter
02/03/1998
Medicare Part B Payment Premiums for Qualified Individuals
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd020398.pdf
State Medicaid Director Letter
02/09/1998
Defense Eligibility Enrollment Reporting System (DEERS)
Eligibility, Data & Systems
https://www.cms.gov/smdl/downloads/smd020998.pdf
State Medicaid Director Letter
02/12/1998
Hyde Amendment and Abortions
Benefits, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd021298.pdf
State Medicaid Director Letter
02/20/1998
Eligibility for Habilitation Services through Home and Community-Based Waivers
Long-Term Services & Supports, Benefits
https://www.cms.gov/smdl/downloads/SMD022098h.pdf
State Medicaid Director Letter
02/20/1998
Managed Care Entities Affiliations with Debarred or Suspended Individuals
Managed Care Delivery System, Program Integrity
https://www.cms.gov/smdl/downloads/SMD022098e.pdf
State Medicaid Director Letter
02/20/1998
HIV/AIDS Broadcast Series
Benefits
https://www.cms.gov/smdl/downloads/SMD022098i.pdf
State Medicaid Director Letter
02/20/1998
Managed Care Sanctions for Non-Compliance
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD022098.pdf
State Medicaid Director Letter
02/20/1998
Managed Care Enrollment
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD022098b.pdf
State Medicaid Director Letter
02/20/1998
Managed Care Emergency Services Coverage
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD022098c.pdf
State Medicaid Director Letter
02/20/1998
Managed Care Greivance Procedures
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD022098d.pdf
State Medicaid Director Letter
02/20/1998
Managed Care Beneficiary Protections
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD022098f.pdf
State Medicaid Director Letter
02/20/1998
Managed Care Marketing Materials
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD022098g.pdf
State Medicaid Director Letter
02/26/1998
Home Health Agencies (HHAs) Surety Bonds
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD022698.pdf
State Medicaid Director Letter
03/06/1998
Fatherhood Intiative Report
CHIP, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/smd030698b.pdf
State Medicaid Director Letter
03/09/1998
Disabled Working Individuals - Optional Categorically Needy Eligibility Group
Eligibility
https://www.cms.gov/smdl/downloads/SMD030998.pdf
State Medicaid Director Letter
03/10/1998
Eligibility Redeterminiation Time Extension
Eligibility
https://www.cms.gov/smdl/downloads/smd031098.pdf
State Medicaid Director Letter
03/23/1998
Program of All-Inclusive Care for the Elderly (PACE) State Option
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD032398b.pdf
State Medicaid Director Letter
03/23/1998
Managed Care Guaranteed Eligibility Questions & Answers
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/SMD032398.pdf
State Medicaid Director Letter
03/25/1998
Balanced Budget Act Limited Exemption from Managed Care Requirements for Waivers
Managed Care Delivery System, Waivers
https://www.cms.gov/smdl/downloads/SMD032598.pdf
State Medicaid Director Letter
04/07/1998
Clinical Laboratory Improvement Amendments (CLIA) Implementation
Survey & Certification
https://www.cms.gov/smdl/downloads/smd040798.pdf
State Medicaid Director Letter
04/20/1998
Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Requirements
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD042098.pdf
State Medicaid Director Letter
05/06/1998
Balanced Budget Act Limited Exemption from Managed Care Requirements for Waivers
Managed Care Delivery System, Waivers
https://www.cms.gov/smdl/downloads/SMD050698.pdf
State Medicaid Director Letter
05/26/1998
Medicaid Statistical Information System (MSIS) Reporting Changes
Data & Systems
https://www.cms.gov/smdl/downloads/smd052698.pdf
State Medicaid Director Letter
05/28/1998
Personal Care Services Guidelines
Long-Term Services & Supports, Benefits
https://www.cms.gov/smdl/downloads/smd052898b.pdf
State Medicaid Director Letter
06/05/1998
Delinking Medicaid and Temporary Assistance to Needy Families (TANF)
Eligibility, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/smd060598.pdf
State Medicaid Director Letter
06/10/1998
Recovery of Reimbursed Costs from Immigrant Sponsors
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd061098.pdf
State Medicaid Director Letter
06/17/1998
Medicaid Eligibility Quality Control (MEQC) Programs Online Access to Summary Information
Eligibility, Data & Systems, Program Integrity
https://www.cms.gov/smdl/downloads/SMD061798.pdf
State Medicaid Director Letter
06/19/1998
Grant Programs to Support Home and Community-Based Services
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd061998.pdf
State Medicaid Director Letter
06/24/1998
Managed Care Contract Requirements
Managed Care Delivery System, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd062498.pdf
State Medicaid Director Letter
07/17/1998
Millennium Compliance Strategy and Medicaid Management Information Systems (MMIS)
Data & Systems
https://www.cms.gov/smdl/downloads/smd071798.pdf
State Medicaid Director Letter
07/27/1998
Video-Measuring Up: A Blueprint for Building Quality Assurance
Quality of Care
https://www.cms.gov/smdl/downloads/smd072798.pdf
State Medicaid Director Letter
07/29/1998
Americans With Disabilities Act (ADA) Medicaid Court Cases
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd072998.pdf
State Medicaid Director Letter
07/31/1998
Home Health Agencies (HHAs) Surety Bond Participation Requirement Suspension
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd073198.pdf
State Medicaid Director Letter
08/03/1998
Civil Rights Compliance Policy Statement
Statutory Civil Rights Laws
https://www.cms.gov/smdl/downloads/smd080398.pdf
State Medicaid Director Letter
08/05/1998
Managed Care Emergency Services Post-Stabilization Care Coverage
Managed Care Delivery System, Benefits
https://www.cms.gov/smdl/downloads/SMD080598.pdf
State Medicaid Director Letter
08/13/1998
Hospice Care Coverage
Benefits, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD081398.pdf
State Medicaid Director Letter
08/17/1998
Medicaid and TANF Eligibility Coordination Final Regulation
Eligibility
https://www.cms.gov/smdl/downloads/SMD081798.pdf
State Medicaid Director Letter
09/04/1998
Medical Equipment Coverage
Benefits
https://www.cms.gov/smdl/downloads/SMD090498.pdf
State Medicaid Director Letter
10/01/1998
Quality Improvement System for Managed Care Initiative (QISMC)
Managed Care Delivery System, Quality of Care
https://www.cms.gov/smdl/downloads/smd100198.pdf
State Medicaid Director Letter
10/02/1998
Eligibiity for Children with Social Security Income (SSI)
Eligibility
https://www.cms.gov/smdl/downloads/smd100298.pdf
State Medicaid Director Letter
10/05/1998
Managed Care Framework for People with Special Health Care Needs
Managed Care Delivery System, Quality of Care
https://www.cms.gov/smdl/downloads/smd100598.pdf
State Medicaid Director Letter
10/16/1998
Dual Eligibles Outreach and Enrollment
Medicaid-Medicare Issues, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/SMD101698.pdf
State Medicaid Director Letter
10/22/1998
Facilitate Data Sharing between Medicaid and Health Agencies
Data & Systems
https://www.cms.gov/smdl/downloads/SMD102298.pdf
State Medicaid Director Letter
10/23/1998
Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Reimbursement Requirements
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD102398.pdf
State Medicaid Director Letter
10/26/1998
Immunization Resource Guide
Benefits, Quality of Care
https://www.cms.gov/smdl/downloads/SMD102698.pdf
State Medicaid Director Letter
10/30/1998
Viagra Coverage
Prescription Drugs, Benefits
https://www.cms.gov/smdl/downloads/smd103098.pdf
State Medicaid Director Letter
11/02/1998
Medicaid Eligibility Quality Control (MEQC)
Program Integrity
https://www.cms.gov/smdl/downloads/smd110298.pdf
State Medicaid Director Letter
11/25/1998
Medicaid and Ryan White Program Coordination
Benefits, HIV/AIDS
https://www.cms.gov/smdl/downloads/SMD112598.pdf
State Medicaid Director Letter
11/25/1998
Nursing Facilities (NF) Private Reimbursement Pay Rate
Financing & Reimbursement, Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd112598a.pdf
State Medicaid Director Letter
11/30/1998
Viagra Coverage
Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD113098.pdf
State Medicaid Director Letter
12/01/1998
Rural Health Clinic (RHC) Payment Rates
Financing & Reimbursement, Survey & Certification
https://www.cms.gov/smdl/downloads/SMD120198.pdf
State Medicaid Director Letter
12/22/1998
Independent Assessment Guidelines for Section 1915(b) Waivers
Waivers, Managed Care Delivery Systems
https://www.cms.gov/smdl/downloads/smd122298.pdf
State Medicaid Director Letter
01/27/1999
Medicaid Benefits and Inappropriate Cost Sharing
Program Integrity, Cost Sharing
https://www.cms.gov/smdl/downloads/SMD012799.pdf
State Medicaid Director Letter
02/03/1999
Y2K Readiness
Data & Systems
https://www.cms.gov/smdl/downloads/SMD020399.pdf
State Medicaid Director Letter
02/16/1999
Nursing Home Transition Initiative
Long-Term Services & Supports
https://www.cms.gov/smd/downloads/SMD021699.pdf
State Medicaid Director Letter
02/26/1999
Dual Eligible Outreach and Enrollment
Medicaid-Medicare issues, Outreach & Enrollment, Eligibility
https://www.cms.gov/smdl/downloads/SMD022699.pdf
State Medicaid Director Letter
03/05/1999
Defense Enrollment Eligibility Reporting System (DEERS)
Eligibility, Data & Systems
https://www.cms.gov/smdl/downloads/SMD030599.pdf
State Medicaid Director Letter
03/10/1999
Raising provider awareness about Y2K Potential Issues
Data & Systems
https://www.cms.gov/smdl/downloads/SMD031099.pdf
State Medicaid Director Letter
03/17/1999
State Obligation to Notify HHS OIG on Sanctions against Medicaid Beneficiaries
Program Integrity
https://www.cms.gov/smdl/downloads/SMD031799.pdf
State Medicaid Director Letter
04/21/1999
The World Institute on Disabilities (WID) study of Personal Assistance Services (PAS)
Long-Term Services & Supports, Benefits
https://www.cms.gov/smdl/downloads/SMD042199.pdf
State Medicaid Director Letter
05/04/1999
Medicaid Fraud Statutes Website
Program Integrity, Data & Systems
https://www.cms.gov/smdl/downloads/SMD050499.pdf
State Medicaid Director Letter
05/05/1999
Y2K Contingency Plans Submission
Data & Systems
https://www.cms.gov/smdl/downloads/SMD050599.pdf
State Medicaid Director Letter
05/06/1999
1915(b) Capitated Waivers Pre-Print
Managed Care Delivery System, Waivers
https://www.cms.gov/smdl/downloads/SMD050699.pdf
State Medicaid Director Letter
05/17/1999
Transition from Nursing Home Care to the Community Grant Announcement
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD051799.pdf
State Medicaid Director Letter
05/19/1999
Y2K Compliant Billing Claims
Data & Systems
https://www.cms.gov/smdl/downloads/SMD051999.pdf
State Medicaid Director Letter
05/21/1999
School-Based Health Services Reimbursement
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD052199.pdf
State Medicaid Director Letter
06/07/1999
Mental Health Services
Benefits, Outreach & Enrollment, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD060799b.pdf
State Medicaid Director Letter
06/07/1999
Dual Eligibles Outreach and Enrollment
Outreach & Enrollment
https://www.cms.gov/smdl/downloads/SMD060799a.pdf
State Medicaid Director Letter
06/18/1999
Claims and Information Exchanges (Y2K)
Data & Systems
https://www.cms.gov/smdl/downloads/SMD061899.pdf
State Medicaid Director Letter
07/19/1999
EPSDT Annual Reporting Form
Quality of Care, Data & Systems, Benefits
https://www.cms.gov/smdl/downloads/SMD071999.pdf
State Medicaid Director Letter
07/23/1999
Pharmaceutical Supplie Y2K
Data Systems Issues
https://www.cms.gov/smdl/downloads/SMD072399.pdf
State Medicaid Director Letter
10/22/1999
Lead Screening: GAO Report and HHS Taskforce
Quality of Care, Benefits
https://www.cms.gov/SMDL/DOWNLOADS/SMD102299.PDF
State Medicaid Director Letter
12/22/1999
Medicare Disproportionate Share Hospital (DSH) Payments Clarification
Medicaid-Medicare Issues, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD122999.pdf
State Medicaid Director Letter
01/06/00
Funding Expiration Date for Eligibility & Enrollment Processes
Eligibility, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/smd010600.pdf
State Medicaid Director Letter
01/10/00
Guide to Choosing Quality Health Care
Outreach
https://www.cms.gov/smdl/downloads/smd011000.pdf
State Medicaid Director Letter
01/13/00
Dual Eligibles Outreach and Enrollment
Eligibility, Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd011300.pdf
State Medicaid Director Letter
01/14/00
Olmstead Decision and Medicaid
Long-Term Services & Supports
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/smd011400a.pdf
Cover Letter
https://www.cms.gov/smdl/downloads/smd011400c.pdf
State Medicaid Director Letter
01/14/00
Medicare Disproportionate Share Hospital (DSH) Payment Adjustments for Hospitals Final Regulation
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd011400b.pdf
State Medicaid Director Letter
02/18/00
Eligibility Despite Temporary hired 2000 Census Bureau Employment
Eligibility
https://www.cms.gov/smdl/downloads/smd021800.pdf
State Medicaid Director Letter
03/16/00
Defense Enrollment Eligibility Reporting System (DEERS) and TRICARE
Data & Systems
https://www.cms.gov/smdl/downloads/smd031600.pdf
State Medicaid Director Letter
03/27/00
Y2K Medicaid Transition
Data & Systems
https://www.cms.gov/smdl/downloads/smd032700.pdf
State Medicaid Director Letter
03/29/00
Employment Training and Placement Services for Individuals with Disabilities
Eligibility
https://www.cms.gov/smdl/downloads/smd032900.pdf
Ticket to Work and Work Incentives Improvement Act of 1999
State Medicaid Director Letter
04/05/00
Managed Care Emergency Services Coverage
Managed Care Delivery System, Benefits
https://www.cms.gov/smdl/downloads/smd040500.pdf
State Medicaid Director Letter
04/07/00
Reinstatement, Redetermination, and Eligibility Systems Questions & Answers
Eligibility
Questions & Answers #1
https://www.cms.gov/smdl/downloads/smd040700a.pdf
Questions & Answers #2
https://www.cms.gov/smdl/downloads/smd040700b.pdf
Questions & Answers #3
https://www.cms.gov/smdl/downloads/smd040700c.pdf
multiple attachments
04/07/00
Eligibilities Issues Related to TANF Delinking and Children with SSI
Eligibility
https://www.cms.gov/smdl/downloads/smd040700.pdf
State Medicaid Director Letter
04/10/00
Medicaid Statistical Information System (MSIS) Implementation
Data & Systems
https://www.cms.gov/smdl/downloads/smd041000.pdf
State Medicaid Director Letter
04/13/00
Quality Improvement Initiatives: Depression, Asthma, Conference
Quality of Care
https://www.cms.gov/smdl/downloads/smd041300.pdf
State Medicaid Director Letter
04/18/00
Managed Care Emergency Services Coverage
Managed Care Delivery System, Benefits
https://www.cms.gov/smdl/downloads/smd041800.pdf
State Medicaid Director Letter
04/28/00
Childhood Lead Poisoning Screening
Quality of Care, Benefits
https://www.cms.gov/smdl/downloads/smd042800.pdf
State Medicaid Director Letter
04/28/00
Nursing Home Transition Grant Funding
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd042800a.pdf
State Medicaid Director Letter
05/08/00
Innovative Management of Dental Decay for Young Children Grant Demonstration
Benefits
https://www.cms.gov/smdl/downloads/smd050800.pdf
State Medicaid Director Letter
05/16/00
Government Performance and Results Act (GPRA) goal to increase enrollment for dual eligibles
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd051600c.pdf
State Medicaid Director Letter
05/16/00
Medicare/Medicaid Sanction Reinstatement Report
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd051600.pdf
State Medicaid Director Letter
05/16/00
State Obligation to Notify HHS OIG for Administrative Sanctions on Beneficiaries
Program Integrity
https://www.cms.gov/smdl/downloads/smd051600a.pdf
State Medicaid Director Letter
05/16/00
Proposal for a 1915 (b) Primary Care Case Management Waivers Program
Waivers
https://www.cms.gov/smdl/downloads/smd051600b.pdf
State Medicaid Director Letter
05/31/00
Nursing Home Transition Grant
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd053100a.pdf
State Medicaid Director Letter
05/31/00
1115 Waivers Proposal Guidelines that Target Individuals with HIV/AIDS
Waivers
https://www.cms.gov/smdl/downloads/smd053100b.pdf
State Medicaid Director Letter
06/02/00
Building Partnerships for Innovative Outreach and Dual Eligibles Grant
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd060200.pdf
State Medicaid Director Letter
06/07/00
Demonstration to Maintain Independence and Employment Grant
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd060700.pdf
State Medicaid Director Letter
06/08/00
State implementation of Medicaid Statistical Information System (MSIS)
Data & Systems
https://www.cms.gov/smdl/downloads/smd060800a.pdf
State Medicaid Director Letter
06/08/00
Outpatient Prospective Payment System Medicare Implementation
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd060800b.pdf
State Medicaid Director Letter
06/13/00
Eligibiity for Children with Social Security Income (SSI)
Eligibility
https://www.cms.gov/smdl/downloads/smd061300.pdf
State Medicaid Director Letter
06/21/00
State Access to Medicare Data Entitlement and Claims Data
Medicaid-Medicare Issues, Data & Systems
https://www.cms.gov/smdl/downloads/smd062100.pdf
State Medicaid Director Letter
06/27/00
Oversight and Evaluation of State Survey Agency Performance for Nursing Homes
Survey & Certification, Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd062700.pdf
State Medicaid Director Letter
07/06/00
Development of Immunization Registries- Medicaid Management Information System (MMIS)
Data & Systems
https://www.cms.gov/smdl/downloads/smd070600.pdf
State Medicaid Director Letter
07/25/00
Support for Individuals with Disabilities Questions & Answers-Olmstead/Americans with Disabilities Act
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd072500a.pdf
State Medicaid Director Letter
07/25/00
Support for Individuals with Disabilities-Olmstead/Americans with Disabilities Act
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd072500b.pdf
State Medicaid Director Letter
07/26/00
Upper Payment Limits to Government-Owned Facilities
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd072600.pdf
State Medicaid Director Letter
08/03/00
Sterling Life offers Private Fee-For-Service Plan
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd080300.pdf
08/15/00
Systems Performance Review (SPR) Requirement Elimination-Modification of Medicaid Management Information System (MMIS)
Data & Systems
https://www.cms.gov/smdl/downloads/smd081500.pdf
State Medicaid Director Letter
08/29/00
Ticket to Work and Work Incentives Improvement Act of 1999 (TWIIA) Implementation
Long-Term Services & Supports, Eligibility
https://www.cms.gov/smdl/downloads/smd082900.pdf
State Medicaid Director Letter
08/31/00
Prohibition against National Origin Discrimination for People with Limited English Proficiency
Eligibility, Outreach & Enrollment
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/smd083100.pdf
Policy Guidance
https://www.cms.gov/smdl/downloads/smd083100att.pdf
State Medicaid Director Letter
08/31/00
Medical Child Working Group
Outreach & Enrollment
https://www.cms.gov/smdl/downloads/smd083100b.pdf
State Medicaid Director Letter
09/06/00
Medicare Enrollment Database (EDB) Extract Request
Medicaid-Medicare Issues, Data & Systems
https://www.cms.gov/smdl/downloads/smd090600.pdf
State Medicaid Director Letter
09/08/00
HIPAA Medicaid Management Information Systems (MMIS) Funding
Data & Systems, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd090800.pdf
State Medicaid Director Letter
09/11/00
Cost-Avoidance Requirements and Statement of Intent to Claim Medicare Benefits
Medicare/Medicaid Issues, Benefits
https://www.cms.gov/smdl/downloads/smd091100.pdf
State Medicaid Director Letter
09/12/00
Medicaid Eligibility Quality Control (MEQC) and Simplification of Application and Enrollment Processes
Eligibility, Program Integrity
https://www.cms.gov/smdl/downloads/smd091200.pdf
Medicaid Eligibility Quality Control
State Medicaid Director Letter
09/27/00
Cost-Based Reimbursement, Financial Incentives and Managed Care Organization Insolvency-FQHCs/RHCs
Financing & Reimbursement, Managed Care Delivery System
https://www.cms.gov/smdl/downloads/smd092700.pdf
Federally Qualified Health Centers and Rural Health Clinics
State Medicaid Director Letter
10/26/00
Grant Announcement-Infrastructure Grants and Demonstrations to Maintain Independence and Employment; Ticket to Work and Work Incentives Improvement Act (TWWIIA)
Eligibility, Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd102600.pdf
and Demonstrations to Maintain Independence and Employment
State Medicaid Director Letter
10/30/00
National Coverage Decision for Costs Related to Participation in Clinical Trials
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd103000.pdf
State Medicaid Director Letter
11/07/00
Federal Upper Limits for Prescription Drugs
Prescription Drugs
https://www.cms.gov/smdl/downloads/smd110700.pdf
State Medicaid Director Letter
11/14/00
Public Service Announcements De-Linking TANF and Medicaid
Eligibility
https://www.cms.gov/smdl/downloads/smd111400.pdf
State Medicaid Director Letter
11/22/00
Promoting Influenza and Pneumococcal Vaccines to Adult Residents at Nursing Facilities
Quality of Care
https://www.cms.gov/smdl/downloads/smd112200.pdf
immunization standing orders
State Medicaid Director Letter
11/24/00
Children's Health Insurance Program Fourth Quarter Expenditure Reports
CHIP
https://www.cms.gov/smdl/downloads/smd112400.pdf
State Medicaid Director Letter
12/01/00
Foster Care Independence Program and Coverage for Individuals Transitioning from Foster Care
Eligibility
https://www.cms.gov/smdl/downloads/smd012100.pdf
Foster Care Independence Act of 1999
State Medicaid Director Letter
12/04/00
Continuation of Medicaid eligibility when a family moves between counties within the State
Eligibility
https://www.cms.gov/smdl/downloads/smd012400.pdf
Temporary Assistance for Needy Families
State Medicaid Director Letter
12/14/00
Creating equitable risk adjustment payment systems for Managed Care Organizations
Data & Systems
https://www.cms.gov/smdl/downloads/smd121400a.pdf
Actuarial Research Corporation
State Medicaid Director Letter
12/14/00
Outreach and Education for Potential Dual Eligibles
Outreach & Enrollment
https://www.cms.gov/smdl/downloads/smd121400b.pdf
Dual eligible
State Medicaid Director Letter
12/19/00
The Child Support Enforcement (CSE) Program
Eligibility
https://www.cms.gov/smdl/downloads/smd121900.pdf
medical support and paternity
State Medicaid Director Letter
01/02/2001
Policy for the Review of State Plan Amendments
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd010201.pdf
State Medicaid Director Letter
01/08/2001
Coverage, Coding and Reasonable Payment for HIV-1 and Resistance Testing
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd010801.pdf
State Medicaid Director Letter
01/10/2001
Home and Community-Based Services Waivers Limits
Long-Term Services & Supports, Waivers
https://www.cms.gov/smdl/downloads/smd011001a.pdf
Olmstead
State Medicaid Director Letter
01/10/2001
Tools to Improve State Health and Long-term Service Systems - Nursing Facility Transition Grants, Real Choice Systems Change Grants, Community-Based Attendant Services
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd011001b.pdf
Olmstead
State Medicaid Director Letter
01/18/2001
Improving Children's Access to Dental Services State Compliance
Benefits
https://www.cms.gov/smdl/downloads/smd011801a.pdf
State Medicaid Director Letter
01/18/2001
AIDS Drug Assistance Program 340B Rebate Option
Prescription Drugs
https://www.cms.gov/smdl/downloads/smd011801.pdf
ADAP
State Medicaid Director Letter
01/18/2001
Outstationing Medicaid Eligibility for Pregnant Women and Children
Eligibility
https://www.cms.gov/smdl/downloads/smd011801b.pdf
State Medicaid Director Letter
01/19/2001
Coverage of Asthma and Asthma-Related Services
Benefits
https://www.cms.gov/smdl/downloads/smd011901a.pdf
State Medicaid Director Letter
01/19/2001
Medicaid Simplification Strategies and Program Integrity
Eligibility
https://www.cms.gov/smdl/downloads/smd011901e.pdf
Medicaid error rate and federal disallowances
State Medicaid Director Letter
01/19/2001
Medicaid Prospective Payment System for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs)
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd011901d.pdf
State Medicaid Director Letter
01/19/2001
Targeted Case Management
Financing & Reimbursement, Benefits
https://www.cms.gov/smdl/downloads/smd011901c.pdf
State Medicaid Director Letter
01/19/2001
Review Criteria for Children with Special Health Care Needs Mandatorily Enrolled in Managed Care
Managed Care Delivery System
https://www.cms.gov/smdl/downloads/smd011901b.pdf
1915(b); Draft Interim Review Criteria (DIRC) for Special Needs Children
State Medicaid Director Letter
02/07/2001
Second Grant Solicitation - Ticket to Work and Work Incentives Improvement Act (TWIIA)
Long-Term Services & Supports, Eligibility
https://www.cms.gov/smdl/downloads/smd020701.pdf
State Medicaid Director Letter
03/13/2001
Upper Payment Limit Requirements
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd031301.pdf
State Medicaid Director Letter
03/30/2001
Medicaid Drug Rebate Program (Mifepristone)
Prescription Drugs
https://www.cms.gov/smdl/downloads/smd033001.pdf
State Medicaid Director Letter
07/03/2001
Medicaid Payment Accuracy Measurement System Cooperative Agreement
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd070301a.pdf
State Medicaid Director Letter
07/03/2001
Timely Filing of Claims under Medicaid and CHIP
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd070301.pdf
State Medicaid Director Letter
07/05/2001
Medicare Part A/Part B Coverage Determination Appeals
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd070501.pdf
State Medicaid Director Letter
07/11/2001
Attestation of Compliance with Restraint and Seclusion Rules in Residential Psychiatric Treatment Facilities
Quality of Care, Survey & Certification
https://www.cms.gov/smdl/downloads/smd071101.pdf
State Medicaid Director Letter
07/17/2001
Tribal Consultation for Waivers proposals
Tribal Issues, Waivers, CHIP
https://www.cms.gov/smdl/downloads/smd071701.pdf
State Medicaid Director Letter
07/19/2001
Outstationing in Tribal and Urban Indian Health Care Facilities
Eligibility
https://www.cms.gov/smdl/downloads/smd071901.pdf
outreach
State Medicaid Director Letter
08/02/2001
Dual Eligible Enrollment in Medicaid Managed Care
Medicaid-Medicare Issue, Managed Care Delivery System
https://www.cms.gov/smdl/downloads/smd080201.pdf
State Medicaid Director Letter
08/07/2001
Improving Access to Mainstream Services for Persons Who are Homeless
Eligibility, Benefits
https://www.cms.gov/smdl/downloads/smd080701.pdf
State Medicaid Director Letter
08/28/2001
Comprehensive Health-Based Risk Adjustment Payment Systems
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd082801.pdf
State Medicaid Director Letter
09/19/2001
CarePlanner: Web-Based Tool for Living and Support Arrangements
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd091901.pdf
home and community-based services
State Medicaid Director Letter
10/23/2001
Medicaid and CHIP 4th Quarter Expenditures Report-FY2001
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd102301.pdf
State Medicaid Director Letter
11/20/2001
Upper Payment Level for Certain Non-State Government-Owned Hospitals
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd112001.pdf
State Medicaid Director Letter
12/05/2001
Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System
Medicaid-Medicare Issues, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd120501.pdf
State Medicaid Director Letter
01/09/2002
Medicare Enrollment Database
Medicaid-Medicare Issues, Data & Systems
https://www.cms.gov/smdl/downloads/smd010902.pdf
State Medicaid Director Letter
02/20/2002
Third Grant Solicitation Infrastructure Grant and Demonstration to Maintain Independence and Employment-Ticket to Work and Work Incentives Improvement Act (TWWIIA)
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd022002.pdf
State Medicaid Director Letter
03/07/2002
Compliance Extension for Electronic Transaction Rule-Administrative Simplification Compliance Act
Data & Systems
https://www.cms.gov/smdl/downloads/smd030702.pdf
State Medicaid Director Letter
04/01/2002
Site Visits to CLIA Enrolled Facilities with a Certificate of Waivers
Quality of Care
https://www.cms.gov/smdl/downloads/smd040102.pdf
Clinical laboratory improvements act
State Medicaid Director Letter
04/04/2002
Implementation of HIPAA's Administrative Simplification Provisions
Data & Systems
https://www.cms.gov/smdl/downloads/smd040402.pdf
Electronic Data Interchange Transaction
State Medicaid Director Letter
05/03/2002
Public Input to Comprehensive 1115 Waivers, HCBS Waivers and Managed Care Waiverss
Waivers, Long-Term Services & Supports, Managed Care Delivery System
https://www.cms.gov/smdl/downloads/smd050302.pdf
State Medicaid Director Letter
05/07/2002
Medicaid Payment Accuracy Measurement (PAM) Project
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd050702.pdf
State Medicaid Director Letter
05/09/2002
Transition Costs Covered under Home and Community Based Services Waiverss
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd050902a.pdf
Home and Community-Based Services (HCBS), New Freedom Report to the President
State Medicaid Director Letter
05/09/2002
Template Applications for Independence Plus: a Program for Family or Individual Directed Community Services
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd050902b.pdf
New Freedom Initiative
State Medicaid Director Letter
05/29/2002
Medicaid National Institutional Reimbursement Team (NIRT)
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd052902.pdf
State Medicaid Director Letter
06/04/2002
Procedures for Requesting Retrospective Medicare Claims from Medicare's National Claims History Standard Analytical Files
Medicaid-Medicare Issues; Data & Systems
https://www.cms.gov/smdl/downloads/smd060402.pdf
State Medicaid Director Letter
08/13/2002
Promising State Practices to Reduce Unnecessary Nursing Facility Placement
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd081302.pdf
New Freedom Initiative, Nursing facility transition grants
State Medicaid Director Letter
08/16/2002
Medicaid Disproportionate Share Hospital (DSH) Program - Supplemental Upper Payment Limit Payments and Payment for Prison Inmate Care
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd081602.pdf
State Medicaid Director Letter
09/18/2002
Supplemental Drug Rebate Agreements and Prior Authorization of Covered Outpatient Drugs
Prescription Drugs
https://www.cms.gov/smdl/downloads/smd091802.pdf
State Medicaid Director Letter
10/04/2002
HIPAA Model Compliance Plan Submission Deadline
Data & Systems
https://www.cms.gov/smdl/downloads/smd100402.pdf
State Medicaid Director Letter
11/06/2002
Medicaid Coverage of Medicare Cost-Sharing for Qualifying Individuals
Eligibility
https://www.cms.gov/smdl/downloads/smd110602.pdf
State Medicaid Director Letter
11/08/2002
Medicaid and CHIP 4th Quarter Expenditures Report Submission-FY2002
Financing & Reimbursement, CHIP
https://www.cms.gov/smdl/downloads/smd110802.pdf
State Medicaid Director Letter
11/21/2002
Federal Matching Rate for Administrative Activities Performed by Skilled Professional Medical Personnel (SPMP) in Schools
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd112102.pdf
State Medicaid Director Letter
12/20/2002
Legislative Changes to Medicaid Coverage of Medicare Cost-Sharing for Qualifying Individuals (QIs)
Eligibility
https://www.cms.gov/smdl/downloads/smd122002a.pdf
State Medicaid Director Letter
12/20/2002
Coverage of Emergency Services for Managed Care
Benefits, Managed Care Delivery System
https://www.cms.gov/smdl/downloads/smd122002b.pdf
State Medicaid Director Letter
01/24/2003
Rescinding Coverage of Emergency Services for Managed Care
Benefits, Managed Care Delivery System
https://www.cms.gov/smdl/downloads/smd012403.pdf
State Medicaid Director Letter
03/14/2003
Encouraging States to Identify J-Coded Medicaid Drugs by their National Drug Codes (NDCs) for Rebate Collection
Prescription Drugs
https://www.cms.gov/smdl/downloads/smd031403.pdf
Healthcare Common Procedure Coding System (HCPCS)
State Medicaid Director Letter
03/27/2003
Redistribution of Unexpended FY 2000 CHIP allotments
CHIP
https://www.cms.gov/smdl/downloads/smd032703.pdf
State Medicaid Director Letter
04/08/2003
State Recoupment of Payments for Services To Dual Eligibles
Medicaid-Medicare Issues, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd040803.pdf
State Medicaid Director Letter
06/13/2003
Temporary FMAP Increase under the Jobs and Growth Tax Relief Reconciliation Act of 2003
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd061303.pdf
State Medicaid Director Letter
07/14/2003
Coverage of Medical Equipment Costs to Facilitate Transition of Individuals from Institutional to Community Settings
Benefits, Long-term Services and Supports
https://www.cms.gov/smdl/downloads/smd071403.pdf
State Medicaid Director Letter
09/16/2003
Reporting Specifications Requirement Changes:Medicaid Statistical Information System (MSIS)
Data & Systems
https://www.cms.gov/smdl/downloads/smd091603.pdf
State Medicaid Director Letter
09/17/2003
Money Follows the Person Examples and Clarification
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd091703.pdf
State Medicaid Director Letter
10/07/2003
Data Activities to Support Prescription Drug Discount Card with Transitional Low Income Assistance Program
Data & Systems, Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd100703.pdf
State Medicaid Director Letter
12/15/2003
Data Specifications for Prescription Drug Discount Card and Transitional Assistance Program
Data & Systems, Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd121503.pdf
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
State Medicaid Director Letter
01/28/2004
Extension of the Qualifying Individuals (QI) Benefit through September 2004
Medicaid-Medicare Issues
https://www.cms.gov/smdl/downloads/smd012804.pdf
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
State Medicaid Director Letter
02/25/2004
State Coverage of Disease Management
Benefits, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd022504.pdf
State Medicaid Director Letter
03/15/2004
Grant Solicitation-Demonstration to Maintain Independence and Employment
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd031504.pdf
TWWIIA
State Medicaid Director Letter
07/19/2004
Medicare Drug Discount Card Assistance for Dual Eligibles
Medicaid-Medicare Issues, Prescription Drugs
https://www.cms.gov/smdl/downloads/smd071904.pdf
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
State Medicaid Director Letter
08/17/2004
Money Follows the Person Clarifications
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd081704.pdf
State Medicaid Director Letter
09/09/2004
Multi-State Pooling Arrangements for Prescription Drug Purchasing and Preferred Drug Lists/Prior Authorization Requirements
Prescription Drugs
https://www.cms.gov/smdl/downloads/smd090904.pdf
State Medicaid Director Letter
12/03/2004
Medicaid Statistical Information System (MSIS) Reporting Specification Changes
Data & Systems
https://www.cms.gov/smdl/downloads/smd120304.pdf
State Medicaid Director Letter
12/14/2004
Assuring Receipt of Influenza Shots for Children Eligible for Vaccines for Children (VFC) Program
Quality of Care, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd121404.pdf
State Medicaid Director Letter
05/23/2005
Inappropriate Payments for Prescription Drugs for Sex Offenders (Viagra)
Prescription Drugs
https://www.cms.gov/smdl/downloads/smd052305.pdf
State Medicaid Director Letter
06/03/2005
Medicaid Coverage of Prescription Drugs Excluded from New Medicare Prescription Drug Benefit
Medicaid-Medicare Issues, Prescription Drugs
https://www.cms.gov/smdl/downloads/smd060305.pdf
State Medicaid Director Letter
09/16/2005
Health Care Services for Hurricane Katrina Victims through 1115 Waivers
Eligibility, Waivers
https://www.cms.gov/smdl/downloads/sho091605.pdf
State Medicaid Director Letter
09/29/2005
Optional Benefit for Sickle Cell Disease
Benefits
https://www.cms.gov/smdl/downloads/smd092905.pdf
American Jobs Creation Act of 2004
State Medicaid Director Letter
10/06/2005
Implementation of the Improper Payments Information Act of 2002 - Payment Error Rate Measurement National Contracting Strategy
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/sho100605.pdf
State Medicaid Director Letter
10/18/2005
Tribal Organization Certification of Expenditures as the Non-Federal Share for Administrative Services
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/smd101805.pdf
State Medicaid Director Letter
12/29/2005
Prohibition of Payment for Prescription Drugs used for Treatment of Sexual/Erectile Dysfunction
Financing & Reimbursement, Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD122905.pdf
State Medicaid Director Letter
02/02/2006
Medicare Demonstration to Reimburse States for Part D Transition Assistance to Dual Eligibles and :ow-Income Subsidy Beneficiaries
Medicaid-Medicare Issues, Financing & Reimbursement, Prescription Drugs
https://www.cms.gov/smdl/downloads/smd020206.pdf
State Medicaid Director Letter
02/17/2006
Timing of Enrollment in Medicare Drug Plans
Medicaid-Medicare Issues, Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD021706.pdf
State Medicaid Director Letter
03/10/2006
Cooperation with Medicare Advantage Plans to Identify Dual Eligibles
Medicaid-Medicare Issues
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/smd031006.pdf
Question & Answer
https://www.cms.gov/smdl/downloads/smd031006Encl.pdf
State Medicaid Director Letter
03/17/2006
Coverage of Home Infusion Services for Dual Eligibles
Medicaid-Medicare Issues, Prescription Drugs
https://www.cms.gov/smdl/downloads/smd%20031706.pdf
State Medicaid Director Letter
03/22/2006
Redistribution of Nursing Facility Residents' Unused Prescription Drugs Paid for by Medicaid
Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD032206.pdf
State Medicaid Director Letter
03/31/2006
State Option to Provide Benchmark Benefits to Beneficiaries
Benefits
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD06008.pdf
Benchmark Preprint
https://www.cms.gov/smdl/downloads/6044benchmarkpreprint.pdf
Section 6044 of the Deficit Reduction Act of 2005
State Medicaid Director Letter
03/31/2006
Non-Emergency Medical Transportation (NEMT) Brokerage Program
Financing & Reimbursement, Benefits
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD06009.pdf
Preprint Part A
https://www.cms.gov/smdl/downloads/6083NEMTPreprint.pdf
Preprint Part B
https://www.cms.gov/smdl/downloads/6083NEMTPreprintB.pdf
Section 6083 of the Deficit Reduction Act of 2005
State Medicaid Director Letter
03/31/2006
Non-Contracting Provider Payments for Emergency Services
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD06010.pdf
Section 6085 of the Deficit Reduction Act of 2005
State Medicaid Director Letter
03/31/2006
DRA Options to Support People with Disabilities and Long-Term Care Needs
Long-Term Services & Supports, Eligibility
Overview of Options
https://www.cms.gov/smdl/downloads/Rvltcneeds.pdf
Press Release
https://www.cms.gov/smdl/downloads/MedicaidRoadmapFinal.pdf
Letter to Governors
https://www.cms.gov/smdl/downloads/DearGov.tif
State Medicaid Director Letter
03/31/2006
Dual Eligibles Switching Part D Prescription Drug Plans
Medicaid-Medicare Issues, Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD%20033106.pdf
State Medicaid Director Letter
06/09/2006
Tribal organization criteria to be unit of government to certify expenditures as non-Federal share of administration claims
Tribal Issues
https://www.cms.gov/smdl/downloads/SMD060906.pdf
American Indian, Alaska Native
State Medicaid Director Letter
06/09/2006
DRA Citizenship Documentation Requirements
Eligibility
https://www.cms.gov/smdl/downloads/SMD06012.pdf
Deficit Reduction Act of 2005
State Medicaid Director Letter
06/16/2006
Premiums and Cost Sharing, Including Non-Preferred Prescription Drugs and Non-Emergency Hospital Emergency Room Use
Cost Sharing
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD061606.pdf
Preprint Part A
https://www.cms.gov/smdl/downloads/6041Preprint.pdf
Preprint Part B
https://www.cms.gov/smdl/downloads/6042Preprint.pdf
Deficit Reduction Act of 2005
State Medicaid Director Letter
07/06/2006
Medicare Part D Low-Income Subsidy (LIS) Deeming and Auto Enrollment Process
Medicaid-Medicare Issues, Eligibility
https://www.cms.gov/smdl/downloads/SMD070606.pdf
State Medicaid Director Letter
07/11/2006
Drug Rebates State Collection and Submission of Data
Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD071106.pdf
Deficit Reduction Act of 2005
State Medicaid Director Letter
07/25/2006
Medicaid Transformation Grants
Financing & Reimbursement
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD072506.pdf
Medicaid Risk Management Program Definition
https://www.cms.gov/smdl/downloads/072506EnclA.pdf
Grant Application Instructions
https://www.cms.gov/smdl/downloads/072506EnclB.pdf
Application Date Extended
https://www.cms.gov/smdl/downloads/SMD090606.pdf
Deficit Reduction Act of 2005, Grant
State Medicaid Director Letter
07/27/2006
Qualified State Long-Term Care (LTC) Insurance Partnership Programs and Estate Recovery
Long-Term Services & Supports, Eligibility
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD072706a.pdf
Overview
https://www.cms.gov/smdl/downloads/LTCEnclosure.pdf
Deficit Reduction Act of 2005 Section 6021
State Medicaid Director Letter
07/27/2006
Transfer of Assets, Annuities, Spousal Impoverishment
Long-Term Services & Supports, Eligibility
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD072706b.pdf
Transfer of Asset Rules
https://www.cms.gov/smdl/downloads/TOAEnclosure.pdf
Deficit Reduction Act of 2005, Section 6013, Section 6014, Section 6015, Section 6011, Section 6016, Section 6012
State Medicaid Director Letter
09/19/2006
State False Claims Act Implementation Incentive
Program Integrity
https://www.cms.gov/smdl/downloads/SMD091906.pdf
Deficit Reduction Act 2005
State Medicaid Director Letter
09/19/2006
National Provider Indentifiers
Data & Systems
https://www.cms.gov/smdl/downloads/SMD091906b.pdf
HIPAA, Medicaid Management Information System (MMIS)
State Medicaid Director Letter
09/20/2006
Privacy of Medicaid Data Records
Data & Systems
https://www.cms.gov/smdl/downloads/SMD092006.pdf
State Medicaid Director Letter
11/17/2006
Medicare Part D Prescription Drug Benefit Plan Change
Medicaid-Medicare Issues, Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD111706.pdf
State Medicaid Director Letter
12/13/2006
Employee Education About False Claims Recovery
Program Integrity
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD121306.pdf
Preprint
https://www.cms.gov/smdl/downloads/SMD121306a.pdf
Deficit Reduction Act Section 6032
State Medicaid Director Letter
12/15/2006
Third Party Liability
Eligibility, Financing & Reimbursement
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD121506.pdf
Questions & Answers
https://www.cms.gov/smdl/downloads/SMD121506QandA.pdf
Letter to Texas
https://www.cms.gov/smdl/downloads/SMD121506Encl.pdf
Deficit Reduction Act of 2005, Section 6035
State Medicaid Director Letter
12/18/2006
Medicare Part D Low-Income Subsidy Program
Medicaid-Medicare Issues, Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD121806.pdf
State Medicaid Director Letter
01/10/2007
Health Opportunity Accounts (HOAs) Demonstration Program to Test Alternative Delivery System
Delivery System
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD011007.pdf
Preprint
https://www.cms.gov/smdl/downloads/HOApreprintfinal112906.pdf
Deficit Reduction Act 2005 Section 6082
State Medicaid Director Letter
02/22/2007
Citizenship Documentation Requirements
Eligibility
https://www.cms.gov/SMDL/downloads/SMD022207.pdf
Tax Relief and Health Care Act of 2006 (TRHCA)
State Medicaid Director Letter
03/22/2007
Employee Education for False Claims Recovery Final Guidance
Program Integrity
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD032207.pdf
Questions & Answers
https://www.cms.gov/smdl/downloads/SMD032207Att1.pdf
Summary
https://www.cms.gov/smdl/downloads/SMD032207Att2.pdf
Deficit Reduction Act of 2005, Section 6032
State Medicaid Director Letter
04/25/2007
Value-Driven Health Care (VHC) Effort and Medicaid Quality Improvement Program (MQIP) Goal
Medicaid-Medicare Issues, Quality of Care
State Medicaid Director Letter
https://www.cms.gov/SMDL/Downloads/SMD042507.pdf
Preliminary List of States
https://www.cms.gov/SMDL/Downloads/SMD042507a.pdf
Highlighted States
https://www.cms.gov/SMDL/Downloads/SMD042507b.pdf
AQA Measures Information
https://www.cms.gov/SMDL/Downloads/SMD042507c.pdf
State Medicaid Director Letter
07/06/2007
Medicaid Drug Rebate Program Final Rule and Average Manufacturer Price (AMP)
Prescription Drugs
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD070607.pdf
Timeline
https://www.cms.gov/smdl/downloads/SMD070607A.pdf
Deficit Reduction Act of 2005
State Medicaid Director Letter
08/09/2007
Reporting Specifications for Medicaid Statistical Information System (MSIS)
Data & Systems
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD080907.pdf
CLAIMIP Record Summary
https://www.cms.gov/SMDL/downloads/SMD080907Encl.pdf
State Medicaid Director Letter
08/15/2007
Cost Sharing for Non-Emergency Care in Hospital; Grants for Alternate Non-Emergency Service Providers: DRA and Tax Relief and Health Care Act (TRHC)
Cost Sharing
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD081507.pdf
Funding Announcement
https://www.cms.gov/SMDL/downloads/SMD081507Announcement.pdf
Preprint
https://www.cms.gov/SMDL/downloads/SMD081507Preprint.pdf
State Medicaid Director Letter
08/15/2007
Peer Support Services for Adults with Mental Illness and/or Substance Use Disorder
Long-Term Services & Supports
https://www.cms.gov/SMDL/downloads/SMD081507A.pdf
State Medicaid Director Letter
08/17/2007
Tamper-Resistant Prescription Pads
Prescription Drugs
https://www.cms.gov/SMDL/downloads/SMD081707.pdf
State Medicaid Director Letter
09/13/2007
Optional Self-Direction Personal Assistance Services (PAS) Program
Long-Term Services & Supports
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD091307.pdf
Preprint
https://www.cms.gov/SMDL/downloads/SMD091307Encl.pdf
Deficit Reduction Act of 2005 Section 6087
State Medicaid Director Letter
04/04/08
Home and Community-Based Services Expansion
Long-Term Services & Supports
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD040408.pdf
Waiver & State Plan Comparison
https://www.cms.gov/SMDL/downloads/SMD040408att.pdf
Section 6086 of the Deficit Reduction Act of 2005 (DRA)
State Medicaid Director Letter
04/28/08
Medicaid Integrity Program Established
Program Integrity
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD042808.pdf
Section 6034 of the Deficit Reduction Act of 2005
State Medicaid Director Letter
06/12/08
Strengthen Program Integrity and Reduce Improper Payments to Providers
Program Integrity
https://www.cms.gov/smdl/downloads/SMD061208.pdf
State Medicaid Director Letter
07/31/08
Medicaid-Medicare Coordination of Provider Payment Policies; Hospital-Acquired Conditions (HAC's); ""Never Events""
Medicaid-Medicare Issues, Financing & Reimbursement
https://www.cms.gov/SMDL/downloads/SMD073108.pdf
State Medicaid Director Letter
08/07/08
Integrated Care for Dual Eligibles State Plan Preprint
Medicaid-Medicare Issues
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD080708.pdf
Preprint
https://www.cms.gov/SMDL/downloads/SMD080708att.pdf
State Medicaid Director Letter
10/03/08
Medicare Data Access; Coordination of Benefits Agreement Modification
Medicaid-Medicare Issues, Data & Systems
State Medicaid Director Letter
https://www.cms.gov/SMDL/Downloads/SMD100308.pdf
Coordination of Benefits Modification Overview
https://www.cms.gov/SMDL/Downloads/SMD100308Att1.pdf
State Medicaid Director Letter
11/03/08
Federal Upper Limit Listing Update
Prescription Drugs
https://www.cms.gov/SMDL/downloads/SMD110308.pdf
State Medicaid Director Letter
11/14/08
Medicare Nursing Home Value-Based Purchasing Demonstration
Survey & Certification, Quality of Care
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD111408.pdf
State Medicaid Director Letter
01/20/2009
Reduce Improper Payments to providers
Program Integrity
https://www.cms.gov/SMDL/downloads/SMD011609.pdf
State Medicaid Director Letter
02/09/2009
Children's Health Insurance Program (CHIP) Reauthorization and Withdrawal of Letters from August 17, 2007 & May 07, 2008
CHIP, CHIPRA
https://www.cms.gov/SMDL/downloads/SHO09001.pdf
State Medicaid Director Letter
04/06/2009
Transitional Medical Assistance (TMA) and Options to Modify Eligibility Requirements
Eligibility
State Medicaid Director Letter
https://www.cms.gov/SMDL/DOWNLOADS/SMD040609.PDF
Preprint
https://www.cms.gov/SMDL/DOWNLOADS/SMD040609Att.pdf
ARRA
State Medicaid Director Letter
06/17/2009
American Recovery and Reinvestment Act of 2009 (ARRA) Impact on Medicaid and CHIP Implementation
Eligibility, Tribal Issues, Financing & Reimbursement
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD061709.pdf
Additional Information
https://www.cms.gov/SMDL/downloads/SMD061709att.pdf
ARRA
State Medicaid Director Letter
07/30/2009
Prompt Pay Requirements and Claims Processing Requirements
Financing & Reimbursement
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD073009.pdf
Implementation Guidane
https://www.cms.gov/smdl/downloads/SMD073009ATT.pdf
ARRA
State Medicaid Director Letter
08/19/2009
ARRA Increased Federal Medical Assistance Percentage (FMAP) and Maintenance of Effort (MOE) Requirements
Financing & Reimbursement, Eligibility
State Medicaid Director Letter
https://www.cms.gov/SMDL/downloads/SMD081909.pdf
Grant Award Attestations
https://www.cms.gov/SMDL/downloads/SMD081909Att1.pdf
Examples of Restrictions to Eligibility Standards, Methodologies, or Procedures
https://www.cms.gov/SMDL/downloads/SMD081909Att2.pdf
ARRA Section 5001 (f)
State Medicaid Director Letter
09/01/2009
Electronic Health Records Program Establishment and Payments to Providers
Data & Systems, Financing & Reimbursement
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD090109.pdf
State Medicaid HIT Plan
https://www.cms.gov/smdl/downloads/SMD090109Att1.pdf
Relationship between MMIS, MITA and HITA Adoption
https://www.cms.gov/smdl/downloads/SMD090109Att2.pdf
Roles & Responsibilities of CMS and States
https://www.cms.gov/smdl/downloads/SMD090109Att3.pdf
Grant Opportunities
https://www.cms.gov/smdl/downloads/SMD090109Att4.pdf
Planning Activities Potentially Eligible for 90% Federal Match
https://www.cms.gov/smdl/downloads/SMD090109Att5.pdf
HIT Resources
https://www.cms.gov/smdl/downloads/SMD090109Att6.pdf
ARRA Section 4201, Health Information Technology
State Medicaid Director Letter
11/19/2009
Optional Choice of Self-Directed Personal Assistance Services (PAS)
Long-Term Services & Supports, Waivers
https://www.cms.gov/SMDL/downloads/SMD111909.pdf
Self-Direction
State Medicaid Director Letter
01/22/2010
ARRA Protections for Indians in Medicaid and CHIP
American Indians and Alaska Natives, CHIP
https://www.cms.gov/smdl/downloads/SMD10001.PDF
ARRA Section 5006
State Medicaid Director Letter
01/28/2010
Year of Community Living and Ticket to Work Program
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD10002.pdf
State Medicaid Director Letter
02/18/2010
Low-Income Subsidy (LIS) and the Medicare Savings Programs (MSP)
Medicaid-Medicare Issues, Eligibility
https://www.cms.gov/smdl/downloads/SMD10003.PDF
State Medicaid Director Letter
03/05/2010
Medicare Prescription Drugs Revised Clawback Calculations
Medicaid-Medicare issues, Prescription Drugs, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD10004.pdf
State Medicaid Director Letter
04/09/2010
New Option for Coverage of Individuals under Medicaid; Early Option
Affordable Care Act (ACA), Eligibility
https://www.cms.gov/smdl/downloads/SMD10005.PDF
Affordable Care Act (ACA) Section 2001
State Medicaid Director Letter
04/22/2010
Prescription Drug Rebates
Affordable Care Act (ACA), Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD10006.pdf
Affordable Care Act (ACA) Section 2501
State Medicaid Director Letter
05/10/2010
Medicare Prescription Drugs Clawback Update
Medicaid-Medicare Issues, Prescription Drugs, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD10007.pdf
State Medicaid Director Letter
05/20/2010
Community Living Initiative - Olmstead
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD10008.pdf
State Medicaid Director Letter
06/21/2010
Political Subdivisions
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD10010.pdf
ARRA Section 5001(g)(2), Affordable Care Act (ACA)
State Medicaid Director Letter
06/21/2010
Data Matching Through Public Assistance Reporting Information System (PARIS)
Eligibility
https://www.cms.gov/smdl/downloads/SMD10009.pdf
State Medicaid Director Letter
06/21/2010
Third Party Liability (TPL)
Eligibility
https://www.cms.gov/smdl/downloads/SMD10011.pdf
Deficit Reduction Act (DRA) of 2005 Section 6035
State Medicaid Director Letter
06/22/2010
Money Follows the Person Demonstration Program 5 Year Extension
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD10012.pdf
Affordable Care Act (ACA)
State Medicaid Director Letter
07/02/2010
Family Planning and Benchmark
Affordable Care Act (ACA), Benefits
https://www.cms.gov/smdl/downloads/SMD10013.pdf
State Medicaid Director Letter
07/13/2010
Extended Period for Collection of Provider Overpayments
Affordable Care Act (ACA), Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD10014.pdf
Affordable Care Act (ACA) Section 6506
State Medicaid Director Letter
08/06/2010
Improving Access to Home and Community-Based Services (HCBS)
Affordable Care Act (ACA), Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD10015.pdf
State Medicaid Director Letter
08/17/2010
Federal Funding for Medicaid HIT Activities
Data & Systems, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD10016.pdf
ARRA Section 4201
State Medicaid Director Letter
09/01/2010
National Correct Coding Initiative
Affordable Care Act (ACA)
https://www.cms.gov/smdl/downloads/SMD10017.pdf
Affordable Care Act (ACA) Section 6507
State Medicaid Director Letter
09/09/2010
Hospice Care for Children in Medicaid and CHIP
Affordable Care Act (ACA), Benefits, Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD10018.pdf
Affordable Care At Section 2302
State Medicaid Director Letter
09/28/2010
Medicaid Prescription Drugs Rebates
Affordable Care Act (ACA), Prescription Drugs
https://www.cms.gov/smdl/downloads/SMD10019.pdf
The Affordable Care Section 2501
State Medicaid Director Letter
10/01/2010
Revised State Plan Amendment Review Process
Program Administration
https://www.cms.gov/smdl/downloads/SMD10020.pdf
State Medicaid Director Letter
10/01/2010
Recovery Audit Contractors (RACs) for Medicaid
Affordable Care Act (ACA)
https://www.cms.gov/smdl/downloads/SMD10021.pdf
Affordable Care Act (ACA) Section 6411
State Medicaid Director Letter
11/09/2010
5-Year Approval or Renewal Period for Certain Medicaid Waivers
Affordable Care Act (ACA), Waivers
https://www.cms.gov/smdl/downloads/SMD10022.pdf
Affordable Care Act (ACA) Section 2601
State Medicaid Director Letter
11/09/2010
Political Subdivisions
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD10023.pdf
State Medicaid Director Letter
11/16/2010
Health Homes for Enrollees with Chronic Conditions
Affordable Care Act (ACA)
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/SMD10024.pdf
Template
https://www.cms.gov/smdl/downloads/SMD10024b.pdf
Affordable Care Act (ACA) Section 2703
State Medicaid Director Letter
11/30/2010
Medicaid/CHIP Dental Provider Information
Benefits, CHIP
https://www.cms.gov/smdl/downloads/SMD10025.pdf
State Medicaid Director Letter
12/30/2010
Prohibition on Payments to Institutions or Entities Located Outside of the United States
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SMD10026.pdf
Affordable Care Act (ACA) Section 6505
State Medicaid Director Letter
02/25/11
Maintenance of Effort (MOE) Questions & Answers
Affordable Care Act (ACA), Eligibility
https://www.cms.gov/smdl/downloads/SMD11001.pdf
State Medicaid Director Letter
01/10/2001
Support for Individuals with Disabilities-Olmstead/Americans with Disabilities Act
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd011001b.pdf
State Medicaid Director Letter
01/10/2001
Support for Individuals with Disabilities Questions & Answers-Tools to Improve Home and Community-Based Services
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd011001a.pdf
State Medicaid Director Letter
08/27/1997
Creation of Children's Health Insurance Program
CHIP
https://www.cms.gov/smdl/downloads/SMD082797.pdf
State Health Official Letter
10/10/1997
Children's Health Insurance Program Structure Options
CHIP
State Health Official Letter
https://www.cms.gov/smdl/downloads/sho101097.pdf
Draft State Plan Amendment Eligibility Groups
https://www.cms.gov/smdl/downloads/chiprept.pdf
State Health Official Letter
12/02/1997
Children's Health Insurance Program State Plan Review and Approval Process
CHIP
State Health Official Letter
https://www.cms.gov/smdl/downloads/SMD120297.pdf
Guide
https://www.cms.gov/smdl/downloads/chguide.pdf
State Health Official Letter
12/08/1997
Children's Health Insurance Program Technical Implementation
CHIP
State Health Official Letter
https://www.cms.gov/smdl/downloads/SMD120897b.pdf
CHIP Form 21-E
https://www.cms.gov/smdl/downloads/chipform.pdf
Allotments FY 08
https://www.cms.gov/smdl/downloads/newchart.pdf
Financing Provisions
https://www.cms.gov/smdl/downloads/sho120897attach.pdf
State Health Official Letter
12/19/1997
Children's Health Insurance Program 1998 Regional Conferences
CHIP
https://www.cms.gov/smdl/downloads/SMD121997.pdf
State Health Official Letter
01/14/1998
Coverage of Immigrant Children under the Children's Health Insurance Program
CHIP, Eligibility
https://www.cms.gov/smdl/downloads/sho011498.pdf
Children's Health Insurance Program, immigrants, Immigrant Children
State Health Official Letter
01/23/1998
Children's Health Insurance Program Outreach and Enrollment
CHIP, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/sho012398.pdf
State Health Official Letter
02/13/1998
Children's Health Insurance Program Cost Sharing
CHIP
https://www.cms.gov/smdl/downloads/sho021398a.pdf
State Health Official Letter
02/13/1998
Children's Health Insurance Program Prevention of Crowd Out
CHIP
https://www.cms.gov/smdl/downloads/sho021398b.pdf
State Health Official Letter
02/23/1998
Children's Health Insurance Program Public Notice
CHIP
https://www.cms.gov/smdl/downloads/sho022398.pdf
State Health Official Letter
02/24/1998
Children's Health Insurance Program Tribal Consultation
CHIP
https://www.cms.gov/smdl/downloads/sho022498.pdf
State Health Official Letter
05/11/1998
Children's Health Insurance Program Vaccines
CHIP
https://www.cms.gov/smdl/downloads/sho051198.pdf
Vaccines for Children VFC, immunization
State Health Official Letter
08/06/1998
Children's Health Insurance Program Administrative Cost Cap
CHIP
https://www.cms.gov/smdl/downloads/sho080698.pdf
administrative cap, 10% Administrative Cost Maximum
State Health Official Letter
09/10/1998
Children's Health Insurance Program Application and Enrollment Process
CHIP, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/sho091098.pdf
Application and Enrollment Simplification
State Health Official Letter
03/22/1999
Guide to Outreach and Enrollment Strategies
CHIP, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/SMD032299.pdf
State Health Official Letter
05/05/1999
Y2K Contingency Plan Request-A
Data & Systems
https://www.cms.gov/smdl/downloads/SMD050599.pdf
State Health Official Letter
05/07/1999
Y2K Contingency Plan Request-B
Data & Systems
https://www.cms.gov/smdl/downloads/SMD050799.pdf
State Health Official Letter
05/26/1999
Children's Health Insurance Programand Immigrants
CHIP
https://www.cms.gov/smdl/downloads/sho052699.pdf
Children's Health Insurance Program, Immigrants, Immigration Naturalization Service
State Health Official Letter
06/25/1999
Children's Health Insurance Program Vaccine Funding
CHIP
https://www.cms.gov/smdl/downloads/sho062599.pdf
Immunization, Vaccines, Vaccines for Children, VFC
State Health Official Letter
09/30/1999
Y2K Day one activities for the new millennium
Data & Systems
https://www.cms.gov/smdl/downloads/SMD093099.pdf
State Health Official Letter
10/06/1999
Children's Health Insurance Program Cost Sharing for American Indians and Alaska Natives
CHIP
https://www.cms.gov/smdl/downloads/sho100699b.pdf
tribal
State Health Official Letter
10/06/1999
Children's Health Insurance Program State Evaluations
CHIP
https://www.cms.gov/smdl/downloads/sho100699a.pdf
Evaluation
State Health Official Letter
10/18/1999
Children's Health Insurance ProgramSchool-Based Outreach and Enrollment
CHIP, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/sho101899.pdf
School Based Health
State Health Official Letter
12/17/1999
Y2K Federal Financial Participation State Plan Preprint
Data & Systems
https://www.cms.gov/smdl/downloads/sho121799.pdf
SPA Preprint, State Plan Amendment Preprint
State Health Official Letter
06/26/2000
Eligibility Pilot Grant Program Eligibility & Enrollment Process
Eligibility, CHIP
https://www.cms.gov/smdl/downloads/sho062600.pdf
State Health Official Letter
06/28/2000
Eligibility Conference-2000
Eligibility
https://www.cms.gov/smdl/downloads/sho062800.pdf
National Eligibility Conference
State Health Official Letter
07/10/2000
Definition of Optional Low Income Children in Medicaid
Eligibility
https://www.cms.gov/smdl/downloads/sho071000.pdf
State Health Official Letter
07/31/2000
Children's Health Insurance Program 1115 Waivers
CHIP, Waivers
https://www.cms.gov/smdl/downloads/sho073100.pdf
State Health Official Letter
08/31/2000
Medicaid Child Support Enforcement Work Group Report
https://www.cms.gov/smdl/downloads/sho083100.pdf
State Health Official Letter
09/08/2000
Medicaid and CHIP School-Based Outreach and Enrollment
CHIP, Outreach & Enrollment
State Health Official Letter
https://www.cms.gov/smdl/downloads/sho090800.pdf
White House Memo
https://www.cms.gov/smdl/downloads/sho090800attA.pdf
Instructions for Data Entry
https://www.cms.gov/smdl/downloads/sho090800attB.pdf
State Health Official Letter
09/21/2000
Children's Health Insurance Program Citizenship, Immigration Status, Social Security Numbers
CHIP, Eligibility
https://www.cms.gov/smdl/downloads/sho092100.pdf
Citizenship, TANF, and Food Stamps
State Health Official Letter
11/14/2000
Eligibility and Individual Development Accounts (IDAs)
Eligibility
https://www.cms.gov/smdl/downloads/sho111400.pdf
State Health Official Letter
12/21/2000
Model Applications and Notices Project to Improve Language and Cultural Appropriateness
Outreach & Enrollment
https://www.cms.gov/smdl/downloads/sho122100.pdf
State Health Official Letter
01/04/2001
Breast and Cervical Cancer Prevention and Detection Program
Eligibility
https://www.cms.gov/smdl/downloads/sho010401.pdf
breast & cervical cancer treatment
State Health Official Letter
01/08/2001
CHIP Final Regulation (HCFA 2006-F)
CHIP
https://www.cms.gov/smdl/downloads/sho010801.pdf
State Health Official Letter
07/05/2001
Children's Health Insurance Program Funding for Outreach
CHIP, Outreach & Enrollment
https://www.cms.gov/smdl/downloads/sho070501.pdf
State Health Official Letter
01/14/2002
Medicaid Eligibility Policy Resource Guide
Eligibility
https://www.cms.gov/smdl/downloads/SHO011402.pdf
State Health Official Letter
07/14/2003
Transition individuals into the community through coverage of medical equipment costs
Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/smd071403.pdf
Long Term Care, ADA/Olmstead
State Health Official Letter
11/13/2003
Medicaid and State Children's Health Program FY 2003 Fourth Quarter Expenditure Reports
Financing & Reimbursement, CHIP
https://www.cms.gov/smdl/downloads/sho111303.pdf
State Health Official Letter
11/13/2003
Medicaid and State Children's Health Program FY 2003 Fourth Quarter Expenditure Reports Request
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/sho111303.pdf
State Health Official Letter
12/15/2003
Meciare-Endorsed Prescription Drug Discount Card and Transitional Assistance Program
Medicare-Medicaid Issues
https://www.cms.gov/smdl/downloads/smd121503.pdf
State Health Official Letter
01/28/2004
Extension of Qualifying Individuals (QIs) Benefit
Medicare-Medicaid Issues
https://www.cms.gov/smdl/downloads/smd012804.pdf
State Health Official Letter
12/03/2004
Medical Statistical Information System (MSIS) Reporting Specifications Change
Data & Systems
https://www.cms.gov/smdl/downloads/smd120304.pdf
State Health Official Letter
09/16/2005
Health Care Services for Hurricane Katrina Victims through an 1115 Waiver
Waiver
https://www.cms.gov/smdl/downloads/SHO091605.pdf
State Health Official Letter
10/06/2005
Payment Error Rate Measurement (PERM) Final Regulation
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/sho100605.pdf
Data Systems Issues, State Children'sHealth Insurance Program
State Health Official Letter
03/31/2006
State High Risk Pool Funding Extension through FY 2006
Financing & Reimbursement
https://www.cms.gov/smdl/downloads/SHO6001.pdf
State Health Official Letter
04/06/2006
Pay-for-Performance Questions & Answers
Quality, Financing & Reimbursement
State Health Official Letter
https://www.cms.gov/smdl/downloads/SHO040606.pdf
Performance Incentive Programs
https://www.cms.gov/smdl/downloads/StatePerformanceIncentiveChart040606.pdf
State Health Official Letter
08/30/2006
Payment Error Rate Measurement (PERM) FY 2007 State Selection
Financing & Reimbursement, CHIP
https://www.cms.gov/smdl/downloads/SHO083006.pdf
State Health Official Letter
10/10/2006
Payment Error Rate Measurement (PERM) FY 2007 State Review
Financing & Reimbursement, CHIP
State Health Official Letter
https://www.cms.gov/smdl/downloads/SHO101006.pdf
PERM Information
https://www.cms.gov/smdl/downloads/SHO101006a.pdf
State Health Official Letter
10/17/2006
Statistical Enrollment Data Sytem (SEDS)
CHIP, Data & Systems
https://www.cms.gov/smdl/downloads/SHO101706.pdf
State Health Official Letter
08/17/2007
Prevention of Crowd-Out in CHIP
CHIP
https://www.cms.gov/smdl/downloads/SHO081707.pdf
State Health Official Letter
09/07/2007
Payment Error Rate Measurement (PERM) FY 2008 State Review
Financing & Reimbursement, CHIP
https://www.cms.gov/SMDL/downloads/SHO090707.pdf
State Health Official Letter
05/07/2008
Children's Health Insurance Program Crowd Out Prevention
CHIP
https://www.cms.gov/SMDL/downloads/SHO050708.pdf
State Health Official Letter
10/28/2008
State False Claims Act and Refund of Federal Share
Financing & Reimbursement
https://www.cms.gov/SMDL/downloads/SHO08004.pdf
State Health Official Letter
02/06/2009
CHIP Reauthorization Withdrawal of Two SMD Letters
CHIP
https://www.cms.gov/SMDL/downloads/SHO09001.pdf
State Health Official Letter
04/17/2009
Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Overview
CHIP, CHIPRA
https://www.cms.gov/SMDL/downloads/SHO041709.pdf
State Health Official Letter
06/24/2009
Medicaid and CHIP Coverage of HIV Testing and Screening
Benefits
https://www.cms.gov/SMDL/downloads/SHO062409.pdf
State Health Official Letter
08/31/2009
Eligibility for Newborns of Medicaid and CHIP-Enrolled Mothers
CHIP, Eligibility
https://www.cms.gov/smdl/downloads/SHO083109b.pdf
State Health Official Letter
09/03/2009
CHIP Coverage of Pregnant Women Questions and Answers
CHIP, Eligibility
https://www.cms.gov/smdl/downloads/SHO090309.pdf
State Health Official Letter
09/24/2009
Coverage of H1N1 Influenza Vaccine
Benefits
https://www.cms.gov/smdl/downloads/SHO092409.pdf
State Health Official Letter
10/07/2009
CHIP Dental Benefits
CHIP, Benefits, CHIPRA
https://www.cms.gov/SMDL/downloads/CHIPRA%20Dental%20SHO%20Final%20100709revised.pdf
State Health Official Letter
10/21/2009
Medicaid Managed Care Requirements Applied to CHIP Managed Care
Delivery System
https://www.cms.gov/SMDL/downloads/SHO102109.pdf
State Health Official Letter
11/04/2009
Mental Health Parity and Substance Use Disorder Parity Requirements
Benefits
https://www.cms.gov/SMDL/downloads/SHO110409.pdf
State Health Official Letter
12/17/2009
CHIP Performance Bonus Payments-FY 2009
CHIP, CHIPRA
https://www.cms.gov/smdl/downloads/SHO122809corrected.pdf
State Health Official Letter
01/22/2010
CHIP Premium Grace Period
CHIP, CHIPRA
https://www.cms.gov/smdl/downloads/SHO10001.pdf
Cost Sharing
State Health Official Letter
02/02/2010
Premium Assistance Option
CHIP, CHIPRA
https://www.cms.gov/smdl/downloads/SHO10002.pdf
State Health Official Letter
02/04/2010
Express Lane Eligibility Option
Eligibility, CHIP, CHIPRA
https://www.cms.gov/smdl/downloads/SHO10003.PDF
State Health Official Letter
02/04/2010
Prospective Payment System for Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs)
Financing & Reimbursement, CHIPRA
https://www.cms.gov/smdl/downloads/SHO10004.pdf
State Health Official Letter
03/02/2010
Federal Matching Rates for CHIP Expenditures
CHIP, Financing & Reimbursement, CHIPRA
https://www.cms.gov/smdl/downloads/SHO10005.pdf
State Health Official Letter
07/01/2010
Federal Matching Funds for Translation and Interpretation Services
Financing & Reimbursement, CHIPRA, CHIP
https://www.cms.gov/smdl/downloads/SHO10007.pdf
State Health Official Letter
07/01/2010
Coverage of Lawfully Residing Children and Pregnant Women
CHIP, CHIPRA
https://www.cms.gov/smdl/downloads/SHO10006.pdf
CHIPRA - Section 214
State Health Official Letter
10/01/2010
CHIP Performance Bonus Payments FY2010
CHIP, CHIPRA
https://www.cms.gov/smdl/downloads/SHO10008.pdf
State Health Official Letter
02/14/2011
CHIPRA Children's Quality Measures
CHIP, CHIPRA, Quality
https://www.cms.gov/smdl/downloads/SHO11001.pdf
State Health Official Letter
09/12/2011
State Balancing Incentive Program Implementation
Affordable Care Act (ACA), Long-Term Services & Supports
State Medicaid Director Letter
https://www.cms.gov/smdl/downloads/11-010.pdf
Application Announcement
https://www.cms.gov/smdl/downloads/Final-BIPP-Application.pdf
State Medicaid Director Letter
08/10/2011
Tri-Agency Letter on Cost Allocation of Information Technology Systems
Affordable Care Act (ACA), Data & Systems, Eligibility
https://www.cms.gov/smdl/downloads/tri-agency.pdf
State Medicaid Director Letter
08/05/2011
Maintenance of Effort Home & Community-Based Services Questions & Answers
Affordable Care Act (ACA), Eligibility, Long-Term Services & Supports
https://www.cms.gov/smdl/downloads/SMD11-009.pdf
State Medicaid Director Letter
07/08/2011
Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees
Medicaid-Medicare Issues, Financing & Reimbursement
https://www.cms.gov/smdl/downloads/Financial_Models_Supporting_Integrated_Care_SMD.pdf
State Medicaid Director Letter
06/24/2011
Tobacco Cessation Services
Affordable Care Act (ACA), Benefits
https://www.cms.gov/smdl/downloads/SMD11-007.pdf
State Medicaid Director Letter
06/10/2011
Same Sex Partners and Medicaid Liens, Transfers of Assets, and Estate Recovery
Eligibility
https://www.cms.gov/smdl/downloads/SMD11-006.pdf
State Medicaid Director Letter
06/06/2011
Coverage & Service Design Opportunities for Individuals Living with HIV
Benefits
https://www.cms.gov/smdl/downloads/11-005.pdf
State Medicaid Director Letter
05/18/2011
Health Information Exchange-Electronic Health Record (EHR) Incentive Programs
Data & Systems
https://www.cms.gov/smdl/downloads/SMD11004.pdf
State Medicaid Director Letter
04/22/2011
National Correct Coding Initiative: Appeals
Survey & Certification
https://www.cms.gov/smdl/downloads/SMD11003.pdf
State Medicaid Director Letter
04/08/2011
HITECH - Electronic Health Record (EHR) Technical Changes
Data & Systems
https://www.cms.gov/smdl/downloads/SMD11002.pdf
State Medicaid Director Letter
09/20/2011
Balancing Incentive Program/Basic Health Program RFI/Access to Lab Test Results Proposed Rules
Affordable Care Act (ACA), Long-Term Services & Supports, Eligibility, Survey & Certification
https://www.cms.gov/CMCSBulletins/downloads/cib-9-20-11.pdf
Informational Bulletin
09/28/2011
State Consumer-Oriented Websites (Section 6103)
Affordable Care Act (ACA), Outreach & Enrollment
https://www.cms.gov/CMCSBulletins/downloads/CIB-9-28-11.pdf
Informational Bulletin
09/30/2011
FY 2012 Update to Nominal Cost Sharing
Cost Sharing
https://www.cms.gov/CMCSBulletins/downloads/CIB-9-30-2011.pdf
Informational Bulletin
10/14/2011
Annual Reassignments for certain Low Income Subsidy (LIS)eligible Individuals
Medicaid-Medicare Issues, Eligibility
https://www.cms.gov/CMCSBulletins/downloads/CIB-10-14-11.pdf
Informational Bulletin
10/31/2011
Part D cost-sharing Eliminated for Full Benefit Dual Eligibles Receiving Home & Community-Based Services (Section 3309)
Affordable Care Act (ACA), Medicaid-Medicare issues, Home & Community-Based Services, Cost Sharing
https://www.cms.gov/CMCSBulletins/downloads/cib-10-31-11.pdf
Informational Bulletin
04/04/2011
CHIP Coverage of Children of Public Employees
CHIP Coverage of Children of Public Employees - Affordable Care Act (ACA) section 10203(b)(2)(D)
http://www.cms.gov/smdl/downloads/SHO11002.pdf
State Health Official Letter
05/11/2009
Pregnant Women Coverage Option
Pregnant Women Coverage Option
State Health Official Letter
http://www.cms.gov/SMDL/downloads/SHO051109.pdf
Application Announcement
http://www.cms.gov/SMDL/downloads/SHO051109att.pdf
State Health Official Letter
05/08/2009
Pregnant Women Coverage Option
Pregnant Women Coverage Option
State Health Official Letter
http://www.cms.gov/SMDL/downloads/SHO050809.PDF
Application Announcement
http://www.cms.gov/SMDL/downloads/SHO050809att.PDF
State Health Official Letter
02/09/2011
The Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Signing
CHIPRA, CHIP
http://www.cms.gov/SMDL/downloads/SHO09001.pdf
State Health Official Letter
05/01/2008
High Risk Pool Funding
High Risk Pool
http://www.cms.gov/SMDL/SHO/smdl/downloads/SHO050108.pdf
State Health Official Letter
05/23/2005
Inappropriate Medicaid Payments for Drugs in the Case of Sex Offenders (Viagra)
Drug Issues
http://www.cms.gov/downloads/smd052305.pdf
State Health Official Letter
12/14/2004
Ensuring Medicaid enrolled children eligible for VFC receive influenza shots
Ensuring Medicaid enrolled children eligible for VFC receive influenza shots
http://www.cms.gov/smdl/downloads/smd121404.pdf
State Health Official Letter
12/03/2004
Change to MSIS Reporting Specifications
Data & Systems
http://www.cms.gov/smdl/downloads/smd120304.pdf
State Health Official Letter
11/13/2003
Medicaid and State Children's Health Program fourth quarter expenditure reports
Reimbursement
http://www.cms.gov/smdl/downloads/sho111303.pdf
State Health Official Letter
11/13/2003
Need for States to submit and certify SCHIP fourth quarter expenditure reports for FY 2003
Reimbursement
http://www.cms.gov/smdl/downloads/sho111303.pdf
State Health Official Letter
01/14/2002
New Resource Guide on Medicaid Eligibility Policy
State Children's Health Insurance Program, Medicaid and Welfare Reform
http://www.cms.gov/smdl/downloads/SHO011402.pdf
State Health Official Letter
11/02/2011
Updates on Medicaid / CHIP
Annual Report on the Quality of Care for Children, Innovation Advisors Program, ACO
http://www.cms.gov/CMCSBulletins/downloads/CIB-11-02-11.pdf
Informational Bulletin
10/28/2011
CMS-2901-PN
Medicare and Medicaid Programs; The American Association for Accreditation of Ambulatory Surgery Facilities for Approval of Deeming Authority for Rural Health Clinics
http://www.gpo.gov/fdsys/pkg/FR-2011-10-28/html/2011-27962.htm
Regulation
09/23/2011
CMS-2377-PN
Medicare and Medicaid Programs; Application by Community Health Accreditation Program for Continued Deeming Authority for Home Health Agencies
http://www.gpo.gov/fdsys/pkg/FR-2011-09-23/html/2011-24547.htm
Regulation
09/23/2011
CMS-2375-FN
Medicare and Medicaid Programs; Approval of the Joint Commission's Continued Deeming Authority for Critical Access Hospitals
http://www.gpo.gov/fdsys/pkg/FR-2011-09-23/html/2011-24496.htm
Regulation
09/14/2011
CMS-2319-P
CLIA Program and HIPAA Privacy Rule; Patients' Access to Test Reports
http://www.gpo.gov/fdsys/pkg/FR-2011-09-14/html/2011-23525.htm
Regulation
08/17/2011
CMS-2349-P
Medicaid Program; Eligibility Changes Under the Affordable Care Act (ACA) of 2010
http://www.gpo.gov/fdsys/pkg/FR-2011-08-17/html/2011-20756.htm
Regulation
08/03/2011
CMS-2292-P
Medicaid and Children's Health Insurance Programs; Disallowance of Claims for FFP and Technical Corrections
http://www.gpo.gov/fdsys/pkg/FR-2011-08-03/html/2011-19528.htm
Regulation
07/12/2011
CMS-2348-P
Medicaid Program; Face-to-Face Requirements for Home Health Services; Policy Changes and Clarifications Related to Home Health
http://www.gpo.gov/fdsys/pkg/FR-2011-07-12/html/2011-16937.htm
Regulation
06/06/2011
CMS-2400-F
Medicaid Program; Payment Adjustment for Provider-Preventable Conditions Including Health Care-Acquired Conditions
http://www.gpo.gov/fdsys/pkg/FR-2011-06-06/html/2011-13819.htm
Regulation
05/13/2011
CMS-2375-PN
Medicare and Medicaid Programs; Application by the Joint Commission for Continued Deeming Authority for Critical Access Hospitals
http://www.gpo.gov/fdsys/pkg/FR-2011-05-13/html/2011-11705.htm
Regulation
05/06/2011
CMS-2328-P
Medicaid Program; Methods for Assuring Access to Covered Medicaid Services
http://www.gpo.gov/fdsys/pkg/FR-2011-05-06/html/2011-10681.htm
Regulation
04/22/2011
CMS-2332-FN
Medicare and Medicaid Programs; Approval of the American Association for Accreditation of Ambulatory Surgery Facilities, Inc. for Deeming Authority for Organizations That Provide Outpatient Physical Therapy and Speech-Language Pathology Services
http://www.gpo.gov/fdsys/pkg/FR-2011-04-22/html/2011-9176.htm
Regulation
04/22/2011
CMS-2372-N
Announcement of the Re-Approval of the American Society of Histocompatibility and Immunogenetics (ASHI) as an Accreditation Organization Under the Clinical Laboratory Improvement Amendments of 1988
http://www.gpo.gov/fdsys/pkg/FR-2011-04-22/html/2011-8948.htm
Regulation
04/19/2011
CMS-2346-F
Medicaid Program; Federal Funding for Medicaid Eligibility Determination and Enrollment Activities
http://www.gpo.gov/fdsys/pkg/FR-2011-04-19/html/2011-9340.htm
Regulation
04/15/2011
CMS-2296-P
Medicaid Program; Home and Community-Based Services (HCBS) Waivers
http://www.gpo.gov/fdsys/pkg/FR-2011-04-15/html/2011-9116.htm
Regulation
03/21/2011
CMS-2318-N
Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals: Federal Fiscal Year 2010 and Federal Fiscal Year 2011
http://www.gpo.gov/fdsys/pkg/FR-2011-03-21/html/2011-6565.htm
Regulation
03/18/2011
CMS-2435-F
Medicare and Medicaid Programs; Civil Money Penalties for Nursing Homes
http://www.gpo.gov/fdsys/pkg/FR-2011-03-18/html/2011-6144.htm
Regulation
02/25/2011
CMS-2337-P
Medicaid Program; Community First Choice Option
http://www.gpo.gov/fdsys/pkg/FR-2011-03-18/html/2011-6144.htm
Regulation
02/25/2011
CMS-2326-FN
Medicare and Medicaid Programs; Approval of the Joint Commission for Deeming Authority for Psychiatric Hospitals
http://www.gpo.gov/fdsys/pkg/FR-2011-02-25/html/2011-4294.htm
Regulation
02/17/2011
CMS-2291-F
Children's Health Insurance Program (CHIP); Allotment Methodology and States' Fiscal Years 2009 Through 2015 CHIP Allotments
http://www.gpo.gov/fdsys/pkg/FR-2011-02-17/html/2011-3639.htm
Regulation
02/17/2011
CMS-2400-P
Medicaid Program; Payment Adjustment for Provider-Preventable Conditions Including Health Care-Acquired Conditions
http://www.gpo.gov/fdsys/pkg/FR-2011-02-17/html/2011-3548.htm
Regulation
01/03/2011
CMS-2321-N
Medicaid Program; Final FY 2009 and Preliminary FY 2011 Disproportionate Share Hospital Allotments, and Final FY 2009 and Preliminary FY 2011 Institutions for Mental Diseases Disproportionate Share Hospital Limits
http://www.gpo.gov/fdsys/pkg/FR-2011-01-03/html/2010-32979.htm
Regulation