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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Requirements of Section 12005 of the 21st Century Cures Act - EPSDT
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Eligibility
- Managed Care
- Quality of Care
Type: Informational Bulletin
Neonatal Abstinence Syndrome: A Critical Role for Medicaid in the Care of Infants
Date:
Topics:
- Benefits
- Delivery System
- Program Administration
- Quality of Care
Type: Informational Bulletin
Coordination Between HHS Appeals Entity and Medicaid and CHIP Agencies - Assessment States
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
Type: Informational Bulletin
Cures Act for Electronic Visit Verification
Date:
Topics:
- Benefits
- Eligibility
Type: Informational Bulletin
Cures Act for Electronic Visit Verification
Date:
Topics:
- Benefits
- Eligibility
Type: Frequently Asked Questions
Aligning Dental Payment Policies and Periodicity Schedules in the Medicaid and CHIP Programs
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Compliance with Medicaid Home Health Final Regulation
Date:
Topics:
- Benefits
- Affordable Care Act (ACA)
Type: Informational Bulletin
Methods for Assuring Access to Care: Exceptions for High Managed Care Penetration & Rate Reduction Threshold (CMS 2406-P)
Date:
Topics:
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Medicaid Access to Care Implementation Guidance
Date:
Topics:
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Programmatic and Financial Information Regarding CHIP in a Federal Funding Shortfall
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Program Administration
Type: Informational Bulletin