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:
Mechanized Claims Processing and Information Retrieval Systems Proposed Rule (CMS 2392-P)
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Proposed Rule: Application of Mental Health and Substance Abuse Disorder Parity Requirements to Medicaid Managed Care, CHIP, and Benchmark Coverage (CMS-2333-P)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Program Administration
Type: Regulations
Basic Health Program: Federal Funding Methodology for Program Year 2016
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Enrollment and Retention Flexibilities to Better Serve Medicare-Eligible
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: Informational Bulletin
Medicaid Managed Care Marketing Regulations
Date:
Topics:
- Affordable Care Act (ACA)
- Delivery System
- Financing & Reimbursement
- Managed Care
Type: Frequently Asked Questions
Final Rule: Medicaid Disproportionate Share Hospital Payments Uninsured Definition
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Delay/Release of Affordable Care Act Federal Upper Limit
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Informational Bulletin
Minimum Essential Coverage
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
Type: State Health Official Letter
Links:
Related Treasury Guidance on Minimal Essential Coverage
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
Type: Regulations
Basic Health Program: Proposed Federal Funding Methodology for Program Year 2016
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Benefits
- Cost Sharing
- Eligibility
- Program Administration
- Basic Health Program
Type: Regulations