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:
Penalty Period Start Date for Certain HCBS Waiver Participants
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: State Medicaid Director Letter
Compliance with Medicaid Home Health Final Regulation
Date:
Topics:
- Benefits
- Affordable Care Act (ACA)
Type: Informational Bulletin
National Medicaid Drug Rebate Agreement (CMS-2397-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
2018 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
2018 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- Quality of Care
Type: Informational Bulletin
Programmatic and Financial Information Regarding CHIP in a Federal Funding Shortfall
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Program Administration
Type: Informational Bulletin
Section 1115 Demonstration Process Improvements
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
- Program Administration
Type: Informational Bulletin
State Plan Amendment and 1915 Waiver Process Improvements to Improve Transparency and Efficiency and Reduce Burden
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
- Long-Term Services & Support
- Program Administration
Type: Informational Bulletin
Institution for Mental Disease (IMD) Frequently Asked Questions (FAQs)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: Frequently Asked Questions
Medicaid and CHIP Managed Medical Loss Ratio (MLR) Credibility Adjustments
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin