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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Mechanized Claims Processing and Information Retrieval Systems - Reuse
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Penalty Period Start Date for Certain HCBS Waiver Participants
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: State Medicaid Director Letter
Compliance with Medicaid Home Health Final Regulation
Date:
Topics:
- Benefits
- Affordable Care Act (ACA)
Type: Informational Bulletin
National Medicaid Drug Rebate Agreement (CMS-2397-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
Delivery System and Provider Payment Initiatives under Medicaid Managed Care Contracts
Date:
Topics:
- Benefits
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Strategies to Address the Opioid Epidemic
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Managed Care
Type: State Medicaid Director Letter
Institution for Mental Disease (IMD) Frequently Asked Questions (FAQs)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: Frequently Asked Questions
Medicaid and CHIP Managed Medical Loss Ratio (MLR) Credibility Adjustments
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Promoting Access in Medicaid and CHIP Managed Care: Strategies for Ensuring Provider Network Adequacy and Service Availability
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Medicaid Managed Care Regulations with July 1, 2017 Compliance Dates
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin