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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State Recoupment of Payments for Services To Dual Eligibles
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Rescinding Coverage of Emergency Services for Managed Care
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Coverage of Emergency Services for Managed Care
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Federal Matching Rate for Administrative Activities Performed by Skilled Professional Medical Personnel (SPMP) in Schools
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
FFP for Coverage of Postpartum Care Included in a Bundled or Global Payment for the Unborn Option
Date:
Topics:
- Children's Health Insurance Program
- Benefits
- Financing & Reimbursement
Type: State Health Official Letter
Links:
Medicaid Disproportionate Share Hospital (DSH) Program - Supplemental Upper Payment Limit Payments and Payment for Prison Inmate Care
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Medicaid National Institutional Reimbursement Team (NIRT)
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Medicaid Payment Accuracy Measurement (PAM) Project
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Medicare Enrollment Database
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Links:
Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Links: