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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Medicaid Payment Accuracy Measurement System Cooperative Agreement
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Timely Filing of Claims under Medicaid and CHIP
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Upper Payment Limit Requirements
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Second Grant Solicitation - Ticket to Work and Work Incentives Improvement Act (TWIIA)
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Medicaid Simplification Strategies and Program Integrity
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Outstationing Medicaid Eligibility for Pregnant Women and Children
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Coverage, Coding and Reasonable Payment for HIV-1 and Resistance Testing
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Breast and Cervical Cancer Prevention and Detection Program
Date:
Topics:
- Eligibility
Type: State Health Official Letter
Policy for the Review of State Plan Amendments
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
The Child Support Enforcement (CSE) Program
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter