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:
Final Notice: Basic Health Program Federal Funding Methodology for Program Year 2017 and 2018 (CMS-2396-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
US Department of Agriculture (USDA) Demonstration Project to Test Using Medicaid Enrollment to Qualify Children for Free and Reduced Price School Meals
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
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
Alternative Benefit Plan Conforming Changes
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Program Administration
Type: Informational Bulletin
Final Rule: Face-to-Face Requirements for Home Health Services; Policy Changes and Clarifications Related to Home Health (CMS-2348-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
Type: Regulations
Final Rule with Comment: Covered Outpatient Drugs (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Regulations
Options for Medicaid Payments in the Implementation of the Fair Labor Standards Act Regulation Changes
Date:
Topics:
- Delivery System
- Long-Term Services & Support
Type: Informational Bulletin
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
Payment Error Rate Measurement (PERM) eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and extension of an interim approach for assessing payment error for eligibility
Date:
Topics:
- Affordable Care Act (ACA)
- Program Integrity
- Eligibility
Type: State Health Official Letter