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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Data Specifications for Prescription Drug Discount Card and Transitional Assistance Program
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Data Activities to Support Prescription Drug Discount Card with Transitional Low Income Assistance Program
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
HIPAA Model Compliance Plan Submission Deadline
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Procedures for Requesting Retrospective Medicare Claims from Medicare's National Claims History Standard Analytical Files
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Implementation of HIPAA's Administrative Simplification Provisions
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Compliance Extension for Electronic Transaction Rule-Administrative Simplification Compliance Act
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
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Dual Eligible Enrollment in Medicaid Managed Care
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Review Criteria for Children with Special Health Care Needs Mandatorily Enrolled in Managed Care
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Links:
Creating equitable risk adjustment payment systems for Managed Care Organizations
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
HIPAA Medicaid Management Information Systems (MMIS) Funding
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter