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:
Protecting Medicaid Beneficiaries Against Impermissible Fraud and Abuse Sanctions (SMD 24-005)
Date:
Topics:
- Access to Care
- Compliance
- Program Administration
- Program Integrity
Type: State Medicaid Director Letter
Links:
Basic Health Program; Federal Funding Methodology for Program Year 2025
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools #3
Date:
Topics:
- Managed Care
- Program Integrity
- Children's Health Insurance Program
Type: Informational Bulletin
Basic Health Program; Federal Funding Methodology for Program Year 2024
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Informational Bulletin
Basic Health Program: Federal Funding Methodology for Program Year 2023 Final Rule
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type:
United States Department of Agriculture (USDA) Demonstration Project to Evaluate Using Medicaid Eligibility Data to Directly Certify Children for Free and Reduced Price School Meals
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools #2
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Program Integrity
- Quality of Care
- Delivery System
Type: Informational Bulletin
Basic Health Program: Proposed Federal Funding Methodology for Program Year 2023 and Proposed Changes to Basic Health Program Regulations
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Medicaid Program: Reassignment of Medicaid Provider Claims Final Rule (CMS-2444-F)
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Program Administration
- Program Integrity
- Quality of Care
Type: Regulations
Medicaid Program: Final and Preliminary Disproportionate Share Hospital Allotments and Final and Preliminary Institutions for Mental Diseases Disproportionate Share Hospital Limits
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations