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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Identifying Deceased Medicaid Enrollees
Date:
Topics:
- Program Administration
- Data & Systems
Type: Guidance
Development and Maintenance of Direct Support Worker Registries: Benefits of Utilization and Enhanced Federal Funding Availability
Date:
Topics:
- Data & Systems
- Long-Term Services & Support
- Benefits
Type: Informational Bulletin
Guidance on Adding Sexual Orientation and Gender Identity Questions to State Medicaid and CHIP Applications for Health Coverage
Date:
Topics:
- Program Administration
- Data & Systems
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
Medicaid Enterprise Systems Compliance and Reapproval Process for State Systems with Operational Costs Claimed at the 75 Percent Federal Match Rate
Date:
Topics:
- Data & Systems
Type: Informational Bulletin
Updated Medicaid Information Technology Systems Guidance: Streamlined Modular
Certification for Medicaid Enterprise Systems
Certification for Medicaid Enterprise Systems
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Links:
Third Party Liability in Medicaid: State Compliance with Changes Required in Bipartisan Budget Act of 2018 and Medicaid Services Investment and Accountability Act of 2019
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Data & Systems
- Delivery System
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- Outreach & Enrollment
- Program Administration
- Program Integrity
Type: Informational Bulletin
Implementing the Patient Access and Interoperability Final Rule
Date:
Topics:
- Data & Systems
Type: State Health Official Letter
Outcomes Based Certification for Electronic Visit Verification (EVV) Systems
Date:
Topics:
- Benefits
- Data & Systems
- Eligibility
Type: Informational Bulletin
Advanced Planning Documents for System Development Associated with 1115 Demonstrations
Date:
Topics:
- Data & Systems
Type: Frequently Asked Questions
Medicaid Opportunities for Enhanced Match for Certain PDMP Expenditures FAQs
Date:
Topics:
- Data & Systems
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions