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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Coverage of Services and Supports to Address Health-Related Social Needs in Medicaid and CHIP
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Health Related Social Needs
- Section 1115 Demonstrations
Type: Informational Bulletin
Links:
2024 Home and Community-Based Services (HCBS) Quality Measure Set (QMS)
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
- Program Administration
Type: Informational Bulletin
Home and Community-Based Services (HCBS) Quality Measure Set (QMS) Reporting Requirements for Money Follows the Person (MFP) Demonstration Grant Recipients
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
- Program Administration
Type: Informational Bulletin
Updates to the Child and Adult Core Health Care Quality Measurement Set
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools #2
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Program Integrity
- Quality of Care
- Delivery System
Type: Informational Bulletin
2022 Updates to the Health Home Core Health Care Quality Measurement Sets
Date:
Topics:
- Affordable Care Act (ACA)
- Quality of Care
Type: Informational Bulletin
2022 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Program Integrity
- Quality of Care
- Delivery System
Type: Informational Bulletin
2021 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Guidance to Improve Care for Infants with Neonatal Abstinence Syndrome and Their Families
Date:
Topics:
- Benefits
- Quality of Care
Type: Informational Bulletin