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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Medicaid Program: Reassignment of Medicaid Provider Claims (CMS-2444-P)
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Program Administration
- Program Integrity
- Quality of Care
Type: Regulations
Public Charge and Safeguarding Beneficiary Information
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Long-Term Services & Support
- Program Administration
Type: Informational Bulletin
Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Related Provisions in the American Rescue Plan Act of 2021
Date:
Topics:
- Affordable Care Act
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Eligibility
- Long-Term Services & Support
- Managed Care
- Tribal Issues
- Basic Health Program
- COVID-19
Type: Informational Bulletin
Medicaid Program; Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements: Delay of Effective Date for Provision Relating to Manufacturer Reporting of Multiple Best Prices Connected to a Value Based Purchasing Arrangement; Delay of Inclusion of Territories in Definition of States and United States (CMS-2482-P2)
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
Implementation of American Rescue Plan Act of 2021 Section 9817: Additional Support for Medicaid Home and Community-Based Services during the COVID-19 Emergency
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- COVID-19
Type: State Medicaid Director Letter
Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH)
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Value-based Care
Type: State Health Official Letter
Mandatory Medicaid State Plan Coverage of Medication-Assisted Treatment
Date:
Topics:
- Benefits
- Prescription Drugs
- COVID-19
Type: State Health Official Letter
Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Basic Health Program
- COVID-19
- Unwinding
Type: State Health Official Letter
Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-F) Final Rule
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
Support for Family-Focused Residential Treatment-Title IV-E and Medicaid Guidance (SUPPORT Act Section 8081)
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Managed Care
Type: Informational Bulletin