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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Medicaid Drug Rebate Program National Rebate Agreement
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
RFI: Federal Government Interventions to Ensure the Provision of Timely and Quality HCBS CMS-2404-NC
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: Regulations
Links:
Enhancing Enrollment of Individuals Transitioning from Medicaid or CHIP to Marketplace Coverage
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- CHIPRA
- Outreach & Enrollment
Type: Informational Bulletin
Links:
Mechanized Claims Processing and Information Retrieval Systems - Modularity
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Proposed Rule: Medicaid Disproportionate Share Hospital (DSH) Payments: Treatment of Third Party Payers in Calculating Uncompensated Costs: CMS 2399-P
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Suggested Approaches for Strengthening and Stabilizing the Medicaid Home Care Workforce
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Long-Term Services & Support
Type: Informational Bulletin
Coordination of Eligibility and Enrollment between Medicaid, CHIP and the Federally Facilitated Marketplace (FFM or "Marketplace")
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
Covered Outpatient Drug Final Rule with Comment (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Frequently Asked Questions
Mechanized Claims Processing and Information Retrieval Systems -APD Requirements
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Federal public notice and public process requirements for changes to Medicaid payment rates
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Informational Bulletin