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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Managed Care Enrollment and Disenrollment Requirements
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Managed Care Mental Health Benefits
Date:
Topics:
- Managed Care
Type: Informational Bulletin
Medicaid Management Information System (MMIS) Systems Performance Review (SPR)
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Managed Care Entity Definitions and Requirements
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Managed Care Beneficiary Protections
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Marketing and Enrollment for Managed Care Plans
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Mandatory Managed Care Enrollment
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Periodic Inspections of Care Requirement for ICF/MRs and Mental Hospitals Eliminated
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Electronic Submission of Claims Data and Medicaid Statistical Information System (MSIS)
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Medicaid Managed Care Waivers (1915 (b)) Submission Guidelines
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter