The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program. To implement these programs, CMS issues various forms of guidance to explain how laws will be implemented and what states and others need to do to comply. In addition to regulations, CMS issues sub-regulatory guidance to address policy issues as well as operational updates and technical clarifications of existing guidance.
Federal Policy Guidance
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Multi-State Pooling Arrangements for Prescription Drug Purchasing and Preferred Drug Lists/Prior Authorization Requirements
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
Data Specifications for Prescription Drug Discount Card and Transitional Assistance Program
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Data Activities to Support Prescription Drug Discount Card with Transitional Low Income Assistance Program
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Encouraging States to Identify J-Coded Medicaid Drugs by their National Drug Codes (NDCs) for Rebate Collection
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
HIPAA Model Compliance Plan Submission Deadline
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Supplemental Drug Rebate Agreements and Prior Authorization of Covered Outpatient Drugs
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
Procedures for Requesting Retrospective Medicare Claims from Medicare's National Claims History Standard Analytical Files
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Implementation of HIPAA's Administrative Simplification Provisions
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Compliance Extension for Electronic Transaction Rule-Administrative Simplification Compliance Act
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Links:
Medicaid Drug Rebate Program (Mifepristone)
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter