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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State Flexibility to Facilitate Timely Access to Drug Therapy by Expanding the Scope of Pharmacy Practice using Collaborative Practice Agreements, Standing Orders or Other Predetermined Protocols
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Informational Bulletin
Strategies to Support Dual Eligible Beneficiaries' Access to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Medicaid-Medicare Issues
Type: Informational Bulletin
Health Services Initiative
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Quality of Care
Type: Frequently Asked Questions
Links:
Medicaid Family Planning Services and Supplies
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: Frequently Asked Questions
Community First Choice State Plan Option
Date:
Topics:
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
Type: State Medicaid Director Letter
Strengthening Program Integrity in Medicaid Personal Care Services
Date:
Topics:
- Eligibility
- Program Integrity
Type: Informational Bulletin
2017 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Opportunities to Improve HIV Prevention and Care Delivery to Medicaid and CHIP Beneficiaries
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: Informational Bulletin
Coverage of Blood Lead Testing for Children Enrolled in Medicaid and the Children's Health Insurance Program
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
Type: Informational Bulletin
Medicaid & Exchange: Eligibility & Expansion Part II - 2nd Final Rule (CMS-2334-F2)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
Type: Regulations