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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CIB: Medicaid Managed Care Frequently Asked Questions (FAQs) – Medical Loss Ratio
Date:
Topics:
- Managed Care
- Program Administration
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
Type: Informational Bulletin
CIB: Medicaid Managed Care Options in Responding to COVID-19
Date:
Topics:
- Managed Care
- Financing & Reimbursement
- Delivery System
- COVID-19
Type: Informational Bulletin
Medicaid Substance Use Disorder Treatment via Telehealth, and Rural Health Care and Medicaid Telehealth Flexibilities guidance
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Program Administration
- COVID-19
Type: Informational Bulletin
Preadmission Screening and Resident Review (PASRR) (CMS-2418-P)
Date:
Topics:
- Long-Term Services & Support
- Benefits
Type: Regulations
Basic Health Program Funding Methodology Proposed Payment Notice for Program Year 2021
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Covered Outpatient Drug; Further Delay Of Inclusion Of Territories In Definitions Of State And United States (CMS–2345–IFC3) – Interim Final with Comment
Date:
Topics:
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
Further Guidance to Medicaid Bipartisan Budget Act (BBA) of 2018 and changes to Medicaid Provisions Passed in April 2019 – Third Party Liability in Medicaid and CHIP
Date:
Topics:
- Eligibility
- Financing & Reimbursement
Type: Informational Bulletin
Proposed Rule: Medicaid Fiscal Accountability Regulation (MFAR)
Date:
Topics:
- Financing & Reimbursement
Type: Regulations
Managed Care Contract Review Redesign Project
Date:
Topics:
- Benefits
- Managed Care
Type: Informational Bulletin
Implementation of Section 5052 of the SUPPORT for Patients and Communities Act – State Plan Option under Section 1915(l) of the Social Security Act
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter