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:
Protecting Medicaid Beneficiaries Against Impermissible Fraud and Abuse Sanctions (SMD 24-005)
Date:
Topics:
- Access to Care
- Compliance
- Program Administration
- Program Integrity
Type: State Medicaid Director Letter
Links:
State Medicaid Director Letter: Permanent Extension of Mandatory Medicaid State Plan Coverage of MAT/MOUD
Date:
Topics:
- Benefits
- Coverage
- Mental Health
- Program Administration
- Substance Use Disorders
Type: State Medicaid Director Letter
Accessing Enhanced Federal Medicaid Matching Rates for State Information Technology Expenditures to Improve Access to Mental Health and Substance Use Disorder Treatment and Care Coordination
Date:
Topics:
- Financing & Reimbursement
- Mental Health
- Program Administration
- Substance Use Disorders
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools, including States’ Responsibility to Comply with Medicaid Managed Care and Separate CHIP Mental Health and Substance Use Disorder Parity Requirements
Date:
Topics:
- Managed Care
- Children's Health Insurance Program
- Mental Health
- Substance Use Disorders
Type: Informational Bulletin
Frequently Asked Questions on Medicaid and CHIP Coverage of Peer Support Services
Date:
Topics:
- Children's Health Insurance Program
- Mental Health
- Substance Use Disorders
Type: Frequently Asked Questions
Informational Bulletin on Opportunities for Improving Access to Mental Health and Substance Use Disorder Services for Medicaid and CHIP Enrollees Experiencing Homelessness
Date:
Topics:
- Access to Care
- Health Related Social Needs
- Homelessness
- Mental Health
- Outreach & Enrollment
- Substance Use Disorders
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools #3
Date:
Topics:
- Managed Care
- Program Integrity
- Children's Health Insurance Program
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
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
Mandatory Medicaid and CHIP Coverage of COVID-19-Related Treatment under the American Rescue Plan Act of 2021
Date:
Topics:
- Benefits
- Cost Sharing
- Financing & Reimbursement
- Prescribed Drugs
- COVID-19
Type: State Health Official Letter