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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Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-F) Final Rule
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
Medicaid and Children’s Health Insurance Program (CHIP) Renewal Requirements
Date:
Topics:
- Children's Health Insurance Program
- Outreach & Enrollment
- Eligibility
- Program Administration
- Program Integrity
Type: Informational Bulletin
2021 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
2021 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
2020 Medicaid Managed Care Final Rule
Date:
Topics:
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Managed Care
- Program Administration
Type: Regulations
Basic Health Program Funding Methodology Proposed Payment Notice for Program Year 2022
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Support for Family-Focused Residential Treatment-Title IV-E and Medicaid Guidance (SUPPORT Act Section 8081)
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Managed Care
Type: Informational Bulletin
Value-Based Care Opportunities in Medicaid
Date:
Topics:
- Delivery System
- Value-based Care
- Financing & Reimbursement
Type: State Medicaid Director Letter
Guidance to Improve Care for Infants with Neonatal Abstinence Syndrome and Their Families
Date:
Topics:
- Benefits
- Quality of Care
Type: Informational Bulletin
Nursing Home Strategies for COVID-19 Only Isolation of COVID-19 Residents
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin