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 Enterprise Systems Compliance and Reapproval Process for State Systems with Operational Costs Claimed at the 75 Percent Federal Match Rate
Date:
Topics:
- Data & Systems
- COVID-19
- Unwinding
Type: Informational Bulletin
Medicaid nursing facility payment approaches to advance health equity and improve health outcomes
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Reimbursement
- COVID-19
Type: Informational Bulletin
Links:
Leveraging Medicaid, CHIP and Other Federal Programs in the Delivery of Behavioral Health Services for Children and Youth
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- COVID-19
Type: Informational Bulletin
Home and Community-Based Services Quality Measure Set (SMD 22-003)
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
Type: State Medicaid Director Letter
Updated Reporting Requirements and Extension of Deadline to Fully Expend State Funds Under American Rescue Plan Act of 2021 Section 9817 (SMD 22-002)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
Type: State Medicaid Director Letter
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
Updated Medicaid Information Technology Systems Guidance: Streamlined Modular
Certification for Medicaid Enterprise Systems
Certification for Medicaid Enterprise Systems
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid, the Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Basic Health Program
- COVID-19
- Unwinding
Type: State Health Official Letter
State Flexibilities to Determine Financial Eligibility for Individuals in Need of Home and Community-Based Services
Date:
Topics:
- Eligibility
- Long-Term Services & Support
Type: State Medicaid Director Letter
Third Party Liability in Medicaid: State Compliance with Changes Required in Bipartisan Budget Act of 2018 and Medicaid Services Investment and Accountability Act of 2019
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Data & Systems
- Delivery System
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- Outreach & Enrollment
- Program Administration
- Program Integrity
Type: Informational Bulletin