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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1915(b) Capitated Waivers Pre-Print
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Independent Assessment Guidelines for Section 1915(b) Waivers
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Managed Care Framework for People with Special Health Care Needs
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Quality Improvement System for Managed Care Initiative (QISMC)
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Balanced Budget Act Limited Exemption from Managed Care Requirements for Waivers
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Balanced Budget Act Limited Exemption from Managed Care Requirements for Waivers
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Managed Care Guaranteed Eligibility Questions & Answers
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Managed Care Beneficiary Protections
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Managed Care Emergency Services Coverage
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Managed Care Enrollment
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
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