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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US Department of Agriculture (USDA) Demonstration Project to Test Using Medicaid Enrollment to Qualify Children for Free and Reduced Price School Meals
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
Implementation of the Covered Outpatient Drug Final Regulation Provisions Regarding Reimbursement for Covered Outpatient Drugs in the Medicaid Program
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: State Medicaid Director Letter
2016 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Best Practices for Addressing Prescription Opioid Overdoses, Misuse and Addiction
Date:
Topics:
- Prescription Drugs
Type: Informational Bulletin
Final Rule with Comment: Covered Outpatient Drugs (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Regulations
Obergefell v. Hodges and Eligibility for Medicaid/CHIP
Date:
Topics:
- Eligibility
- Program Administration
Type: State Health Official Letter
CIB: 2016 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Payment Error Rate Measurement (PERM) eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and extension of an interim approach for assessing payment error for eligibility
Date:
Topics:
- Affordable Care Act (ACA)
- Program Integrity
- Eligibility
Type: State Health Official Letter
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Medicaid-Medicare Issues
- Benefits
- Eligibility
- Cost Sharing
- Financing & Reimbursement
Type: Informational Bulletin
Policy Options for Using SNAP to Determine Medicaid Eligibility and an Update on Targeted Enrollment Strategies
Date:
Topics:
- Eligibility
Type: State Health Official Letter