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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Coverage of Early Intervention Services for First Episode Psychosis
Date:
Topics:
- Benefits
- Program Administration
- Quality of Care
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
Minimum Acceptable Risk Standards for Exchanges (MARS-E) 2.0
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Data & Systems
- Program Integrity
Type: Informational Bulletin
SMD: New Service Delivery Opportunities for Individuals with a Substance Use Disorder
Date:
Topics:
- Benefits
- Delivery System
Type: State Medicaid Director Letter
Tri-Agency Letter on Cost Allocation Requirements Set Forth in OMB Circular A-87
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Medicaid Director Letter
Coverage of Housing-Related Activities and Services for Individuals with Disabilities
Date:
Topics:
- Benefits
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: Informational Bulletin
Medicaid/CHIP Provider Fingerprint-Based Criminal Background Check
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Medicaid Director Letter
Affordable Care Act's Amendments to the Spousal Impoverishment Statute
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Long-Term Services & Support
Type: State Medicaid Director Letter
Mechanized Claims Processing and Information Retrieval Systems Proposed Rule (CMS 2392-P)
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: Regulations