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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Coverage of Blood Lead Testing for Children Enrolled in Medicaid and the Children's Health Insurance Program
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
Type: Informational Bulletin
Section 1115 Medicaid Demonstration Opportunity to Allow Medicaid Coverage to Former Foster Care Youth Who Have Moved to a Different State
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Children's Health Insurance Program
- Eligibility
Type: Informational Bulletin
Medicaid Program; The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Regulations
FAQ: Medicaid and CHIP Managed Care Final Rule (CMS-2390-F)
Date:
Topics:
- Delivery System
- Managed Care
Type: Frequently Asked Questions
Enhancing Enrollment of Individuals Transitioning from Medicaid or CHIP to Marketplace Coverage
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- CHIPRA
- Outreach & Enrollment
Type: Informational Bulletin
Links:
The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Addendum to 2016 Medicaid Managed Care Rate Development Guide
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Strategies to Enroll and Retain Eligible Children in Medicaid and CHIP
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- CHIPRA
- Outreach & Enrollment
Type: Informational Bulletin
Federal Financial Participation for Managed Care External Quality Review
Date:
Topics:
- Quality of Care
- Managed Care
Type: Informational Bulletin
Federally-Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Supplemental Payment Requirements and FQHC, RHC, and Freestanding Birth Center (FBC) Network Sufficiency under Medicaid and CHIP Managed Care
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Financing & Reimbursement
- Managed Care
Type: State Health Official Letter