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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Further Guidance on Implementation Electronic Visit Verification
Date:
Topics:
- Benefits
- Eligibility
Type: Informational Bulletin
New State Flexibilities and Requirements regarding Alternative Benefit Plans (ABP) and Essential Health Benefits (EHB)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
Type: Informational Bulletin
Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: Informational Bulletin
Temporary Census Income and Medicaid and CHIP Eligibility
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Joint CMCS and SAMHSA Informational Bulletin: Information to States and School Systems on Addressing Mental Health and Substance Use Issues in Schools
Date:
Topics:
- Benefits
- Eligibility
- Program Administration
Type: Informational Bulletin
Oversight of State Medicaid Claiming and Program Integrity Expectations
Date:
Topics:
- Financing & Reimbursement
- Program Integrity
- Eligibility
Type: Informational Bulletin
Updated 2019 Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Serious Mental Illness (SMI) and Serious Emotional Disturbance (SED) Demonstration Opportunity Technical Assistance Questions and Answers
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: Frequently Asked Questions
Medicaid Prescription Spread Pricing
Date:
Topics:
- Financing & Reimbursement
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Informational Bulletin
Additional Extension of the Spousal Impoverishment Rules for Married Applicants and Recipients of Home and Community-Based Services
Date:
Topics:
- Eligibility
Type: Informational Bulletin