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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Procedures for Requesting Retrospective Medicare Claims from Medicare's National Claims History Standard Analytical Files
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Implementation of HIPAA's Administrative Simplification Provisions
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Compliance Extension for Electronic Transaction Rule-Administrative Simplification Compliance Act
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Links:
Improving Access to Mainstream Services for Persons Who are Homeless
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Coverage of Asthma and Asthma-Related Services
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Targeted Case Management
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
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Targeted Case Management
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Links:
Improving Children's Access to Dental Services State Compliance
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Creating equitable risk adjustment payment systems for Managed Care Organizations
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Cost-Avoidance Requirements and Statement of Intent to Claim Medicare Benefits
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter