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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Nursing Facility Case-Mix Payment Changes
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Informational Bulletin
Opportunities to Design Innovative Service Delivery Systems for Adults with a Serious Mental Illness or Children with a Serious Emotional Disturbance
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: State Medicaid Director Letter
Strong Start for Mothers and Newborns initiative (Strong Start)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Quality of Care
Type: Informational Bulletin
NPRM: Medicaid and Children's Health Insurance Program (CHIP) Managed Care (CMS-2408-P)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Regulations
Transformed-Medicaid Statistical Information System (T-MSIS)
Date:
Topics:
- Data & Systems
- Managed Care
- Program Administration
- Program Integrity
Type: State Health Official Letter
Reassignment of Medicaid Provider Claims
Date:
Topics:
- Affordable Care Act (ACA)
Type: Regulations
Final FY 2016 and Preliminary FY 2018 Disproportionate Share Hospital Allotments, and Final FY 2016 and Preliminary FY 2018 Institutions for Mental Diseases Disproportionate Share Hospital Limits
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Requirements of Section 12005 of the 21st Century Cures Act - EPSDT
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Eligibility
- Managed Care
- Quality of Care
Type: Informational Bulletin
Coordination Between HHS Appeals Entity and Medicaid and CHIP Agencies - Assessment States
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
Type: Informational Bulletin
Aligning Dental Payment Policies and Periodicity Schedules in the Medicaid and CHIP Programs
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin