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:
Final Rule: Face-to-Face Requirements for Home Health Services; Policy Changes and Clarifications Related to Home Health (CMS-2348-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
Type: Regulations
Final Rule with Comment: Covered Outpatient Drugs (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Regulations
Mechanized Claims Processing and Information Retrieval Systems (90/10) Final Rule (CMS 2392-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Links:
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
Final Rule with Comment: Methods for Assuring Access to Covered Medicaid Services
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Regulations
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
Minimum Acceptable Risk Standards for Exchanges (MARS-E) 2.0
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Data & Systems
- Program Integrity
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