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
REFINE YOUR SEARCH:
Final Rule: Medicaid and CHIP Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions related to Third Party Liability CMS-2390-F
Date:
Topics:
- Children's Health Insurance Program
- Quality of Care
- Delivery System
- Managed Care
Type: Regulations
Mechanized Claims Processing and Information Retrieval Systems-Enhanced Funding
Date:
Topics:
- Cost Sharing
- Data & Systems
- Delivery System
- Financing & Reimbursement
Type: State Medicaid Director Letter
Final Notice: Basic Health Program Federal Funding Methodology for Program Year 2017 and 2018 (CMS-2396-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
US Department of Agriculture (USDA) Demonstration Project to Test Using Medicaid Enrollment to Qualify Children for Free and Reduced Price School Meals
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
2016 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Options for Medicaid Payments in the Implementation of the Fair Labor Standards Act Regulation Changes
Date:
Topics:
- Delivery System
- Long-Term Services & Support
Type: Informational Bulletin
Obergefell v. Hodges and Eligibility for Medicaid/CHIP
Date:
Topics:
- Eligibility
- Program Administration
Type: State Health Official Letter
CIB: 2016 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Payment Error Rate Measurement (PERM) eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and extension of an interim approach for assessing payment error for eligibility
Date:
Topics:
- Affordable Care Act (ACA)
- Program Integrity
- Eligibility
Type: State Health Official Letter
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Medicaid-Medicare Issues
- Benefits
- Eligibility
- Cost Sharing
- Financing & Reimbursement
Type: Informational Bulletin