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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Availability of HITECH Administrative Matching Funds to Help Professionals and Hospitals Eligible for Medicaid EHR Incentive Payments Connect to Other Medicaid Providers
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Mechanized Claims Processing and Information Retrieval Systems (90/10) Final Rule (CMS 2392-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Links:
Final Rule with Comment: Methods for Assuring Access to Covered Medicaid Services
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Minimum Acceptable Risk Standards for Exchanges (MARS-E) 2.0
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Data & Systems
- Program Integrity
Type: Informational Bulletin
Medicaid and CHIP Managed Care Notice of Proposed Rule (CMS 2390-P)
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Delivery System
Type: Regulations
Mechanized Claims Processing and Information Retrieval Systems Proposed Rule (CMS 2392-P)
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Medicaid Managed Care Marketing Regulations
Date:
Topics:
- Affordable Care Act (ACA)
- Delivery System
- Financing & Reimbursement
- Managed Care
Type: Frequently Asked Questions
Health Insurance Providers Fee for Medicaid Managed Care Plans
Date:
Topics:
- Affordable Care Act (ACA)
- Delivery System
- Financing & Reimbursement
- Managed Care
Type: Frequently Asked Questions
Medicaid Information Technology Architecture (MITA) Guidance - Eligibility and Enrollment Supplement, Version 3.0
Date:
Topics:
- Data & Systems
Type: Informational Bulletin
National CAHPS Survey of Adult Medicaid Enrollees
Date:
Topics:
- Data & Systems
- Quality of Care
Type: Informational Bulletin