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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Ten Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
2019 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Opportunities to Design Innovative Service Delivery Systems for Adults with a Serious Mental Illness or Children with a Serious Emotional Disturbance
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: State Medicaid Director Letter
Home & Community Based Services (HCBS) Spousal Impoverishment Expiration (HCBS Sunset)
Date:
Topics:
- Eligibility
- Long-Term Services & Support
Type: Informational Bulletin
NPRM: Medicaid and Children's Health Insurance Program (CHIP) Managed Care (CMS-2408-P)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Regulations
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
Requirements of Section 12005 of the 21st Century Cures Act - EPSDT
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Eligibility
- Managed Care
- Quality of Care
Type: Informational Bulletin
Medicaid Provisions in Recently Passed Federal Budget Legislation Bipartisan Budget Act of 2018 - Third Party Liability in Medicaid and CHIP
Date:
Topics:
- Eligibility
- Financing & Reimbursement
Type: Informational Bulletin
Updated 2018 Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin