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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Test Financial Models for Medicare-Medicaid Enrollees, Affordable Insurance Exchanges NPRM, Home Health Services NPRM, PRA Package, provider-related training costs, Pharmacy Pricing Survey
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Medicaid Program; Face-to-Face Requirements for Home Health Services; Policy Changes and Clarifications Related to Home Health (CMS-2348-P)
Date:
Topics:
- Benefits
Type: Regulations
Tobacco Cessation Services; Annual Re-determination of Medicare Part D Low-Income Subsidy
Date:
Topics:
- Benefits
Type: Informational Bulletin
Tobacco Cessation Services 11-007
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Medicaid Director Letter
Provider Preventable Conditions Final Rule; HIV Coverage; Same Sex Partners and Medicaid Liens, Transfer of Assets, Estate Recovery; Pre-Existing Condition Insurance Plan; Electronic Health Record (HER) Incentive Program, tribal clinics, FQHCs
Date:
Topics:
- Benefits
Type: Informational Bulletin
Coverage and Service Design Opportunities for Individuals Living with HIV 11-005
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Medicaid Program; Payment Adjustment for Provider-Preventable Conditions Including Health Care-Acquired Conditions (CMS-2400-F)
Date:
Topics:
- Affordable Care Act (ACA)
Type: Regulations
Freedom of Choice of Providers; Exchange / Medicaid Information Technology, CHIPRA Quality Measures
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Links:
Termination of Provider Participation under Medicaid if Terminated under Medicare
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Access on Covered Medicaid Services NPRM, Health Information Exchange, Concurrent Hospice Care for Children draft preprint
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin