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 Coverage of Routine Patient Costs Furnished in Connection with Participation in Qualifying Clinical Trials
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
State Flexibilities to Determine Financial Eligibility for Individuals in Need of Home and Community-Based Services
Date:
Topics:
- Eligibility
- Long-Term Services & Support
Type: State Medicaid Director Letter
2022 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Delay of Effective Date for Provision Relating to Manufacturer Reporting of Multiple Best Prices Connected to a Value Based Purchasing Arrangement; Delay of Inclusion of Territories in Definition of States and United States (CMS 2482-F2) Final Rule
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
Basic Health Program; Revised Federal Funding Methodologies for Program Years 2020, 2021 and Operational QAs
Date:
Topics:
- Benefits
- Program Administration
- Basic Health Program
Type: Informational Bulletin
Mandatory Medicaid and CHIP Coverage of COVID-19-Related Treatment under the American Rescue Plan Act of 2021
Date:
Topics:
- Benefits
- Cost Sharing
- Financing & Reimbursement
- Prescribed Drugs
- COVID-19
Type: State Health Official Letter
Guidance on Coordinating Care Provided by Out-of-State Providers for Children with Medically Complex Conditions
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Medicaid Eligibility for COFA Migrants
Date:
Topics:
- Eligibility
- Benefits
Type: State Health Official Letter
United States Department of Agriculture (USDA) Demonstration Project to Evaluate Using Medicaid Eligibility Data to Directly Certify Children for Free and Reduced Price School Meals
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
Medicaid and CHIP Coverage and Reimbursement of COVID-19 Testing Activities
Date:
Topics:
- Benefits
- COVID-19
Type: State Health Official Letter