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 Strategies for Non-Opioid Chronic Pain Management
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Managed Care
Type: Informational Bulletin
Home & Community Based Services (HCBS) Spousal Impoverishment Expiration (HCBS Sunset)
Date:
Topics:
- Eligibility
- Long-Term Services & Support
Type: Informational Bulletin
Update on State Plan Amendment and Section 1915 Waiver Process Improvements
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
- Long-Term Services & Support
- Program Administration
Type: Informational Bulletin
Transformed-Medicaid Statistical Information System (T-MSIS)
Date:
Topics:
- Data & Systems
- Managed Care
- Program Administration
- Program Integrity
Type: State Health Official Letter
21st Century Cures Act Section 5006 Compliance - Provider Directories
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Health and Welfare of Home and Community Based Services (HCBS) Waiver
Date:
Topics:
- Long-Term Services & Support
Type: Informational Bulletin
Leveraging Medicaid Technology to Address the Opioid Crisis
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Mechanized Claims Processing and Information Retrieval Systems - Reuse
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Penalty Period Start Date for Certain HCBS Waiver Participants
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: State Medicaid Director Letter
Methods for Assuring Access to Care: Exceptions for High Managed Care Penetration & Rate Reduction Threshold (CMS 2406-P)
Date:
Topics:
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Regulations