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:
Healthy Adult Opportunity State Guidance (SMD 25-001)
Date:
Topics:
- Delivery System
- Program Administration
- Section 1115 Demonstrations
Type: State Medicaid Director Letter
Budget Neutrality for Section 1115(a) Medicaid Demonstration Projects SMDL (SMD 24-003)
Date:
Topics:
- Program Administration
- Section 1115 Demonstrations
- COVID-19
Type: State Medicaid Director Letter
Initial Core Set Mandatory Reporting Guidance for the Health Home Core Quality Measure Sets and Federal Fiscal Year 2025 Updates to the Health Home Core Quality Measure Sets (SMD 24-002)
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
Type: State Medicaid Director Letter
State Medicaid Director Letter: Health Homes for Children with Medically Complex Conditions (SMD 22-004)
Date:
Topics:
- Benefits
- Program Administration
- Quality of Care
Type: State Medicaid Director Letter
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
Tri-Agency Letter on Trauma-Informed Treatment
Date:
Topics:
- Benefits
- Program Administration
- Quality of Care
Type: State Medicaid Director Letter
Medicare Nursing Home Value-Based Purchasing Demonstration
Date:
Topics:
- Quality of Care
Type: State Medicaid Director Letter
Site Visits to CLIA Enrolled Facilities with a Certificate of Waivers
Date:
Topics:
- Quality of Care
Type: State Medicaid Director Letter
Attestation of Compliance with Restraint and Seclusion Rules in Residential Psychiatric Treatment Facilities
Date:
Topics:
- Quality of Care
Type: State Medicaid Director Letter
Promoting Influenza and Pneumococcal Vaccines to Adult Residents at Nursing Facilities
Date:
Topics:
- Quality of Care
Type: State Medicaid Director Letter