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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Mandatory Medicaid State Plan Coverage of Medication-Assisted Treatment
Date:
Topics:
- Benefits
- Prescription Drugs
- COVID-19
Type: State Health Official Letter
Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Basic Health Program
- COVID-19
- Unwinding
Type: State Health Official Letter
Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-F) Final Rule
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
Medicaid and Children’s Health Insurance Program (CHIP) Renewal Requirements
Date:
Topics:
- Children's Health Insurance Program
- Outreach & Enrollment
- Eligibility
- Program Administration
- Program Integrity
- COVID-19
Type: Informational Bulletin
2021 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Basic Health Program Funding Methodology Proposed Payment Notice for Program Year 2022
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Basic Health Program Funding Methodology Final Payment Notice for Program Year 2021
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Updated 2020 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-P)
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
2020 Medicaid Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin