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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Mechanized Claims Processing and Information Retrieval Systems - Reuse
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
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
Methods for Assuring Access to Care: Exceptions for High Managed Care Penetration & Rate Reduction Threshold (CMS 2406-P)
Date:
Topics:
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Regulations
National Medicaid Drug Rebate Agreement (CMS-2397-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
Medicaid Access to Care Implementation Guidance
Date:
Topics:
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Institution for Mental Disease (IMD) Frequently Asked Questions (FAQs)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: Frequently Asked Questions
Basic Health Program; Federal Funding Methodology for Program Year 2018
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Informational Bulletin
Medicaid Disproportionate Share Hospital (DSH) Payments: Treatment of Third Party Payers in Calculating Uncompensated Costs: CMS 2399-F
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
State Flexibility to Facilitate Timely Access to Drug Therapy by Expanding the Scope of Pharmacy Practice using Collaborative Practice Agreements, Standing Orders or Other Predetermined Protocols
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Informational Bulletin