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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Medicare-Medicaid Integration and Unified Appeals and Grievance Requirements for State Medicaid Agency Contracts with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) for Contract Year 2021
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: Informational Bulletin
Basic Health Program Funding Methodology Final Notice for Program Years 2019 and 2020
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Outcomes Based Certification for Electronic Visit Verification (EVV) Systems
Date:
Topics:
- Benefits
- Data & Systems
- Eligibility
Type: Informational Bulletin
Additional Temporary Extension of the Spousal Impoverishment Rules for Married Applicants and Recipients of Home and Community-Based Services
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Sponsor Deeming and Repayment for Certain Immigrants
Date:
Topics:
- Eligibility
Type: State Health Official Letter
Changes to Modified Adjusted Gross Income (MAGI)-based Income Methodologies
Date:
Topics:
- Eligibility
Type: State Health Official Letter
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
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