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
REFINE YOUR SEARCH:
Medicaid Program Covered Outpatient Drug Interim Final Rule (CMS 2345-IFC)
Date:
Topics:
- Financing & Reimbursement
- Prescription Drugs
- Affordable Care Act (ACA)
Type: Regulations
Medicaid Drug Rebate Program National Rebate Agreement
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
Covered Outpatient Drug Final Rule with Comment (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Frequently Asked Questions
Implementation of the Covered Outpatient Drug Final Regulation Provisions Regarding Reimbursement for Covered Outpatient Drugs in the Medicaid Program
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: State Medicaid Director Letter
Best Practices for Addressing Prescription Opioid Overdoses, Misuse and Addiction
Date:
Topics:
- Prescription Drugs
Type: Informational Bulletin
Final Rule with Comment: Covered Outpatient Drugs (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Regulations
Delay/Release of Affordable Care Act Federal Upper Limit
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Informational Bulletin
Clarifying Information for Quarterly Reporting of Medicaid Drug Rebates in the Medicaid Budget and Expenditure System (MBES)
Date:
Topics:
- Financing & Reimbursement
- Prescription Drugs
Type: Informational Bulletin
Medication Assisted Treatment for Substance Use Disorders
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Program Administration
- Prescription Drugs
Type: Informational Bulletin
Anticipated Finalization of Affordable Care Act Federal Upper Limits for Multiple Source Drugs
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Informational Bulletin
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