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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Targeting Medicaid Super-Utilizers to Decrease Costs and Improve Quality
Date:
Topics:
- Delivery System
- Program Administration
- Quality of Care
Type: Informational Bulletin
Tri-Agency Letter on Trauma-Informed Treatment
Date:
Topics:
- Benefits
- Program Administration
- Quality of Care
Type: State Medicaid Director Letter
Medicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-2334-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
Type: Regulations
Release of Eligibility Final Rule and CHIPRA Outreach Grants
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- CHIPRA
- Eligibility
Type: Informational Bulletin
Opportunity to Comment: Proposed Rule to implement cost allocation of home health agency (HHA) survey expenses
Date:
Topics:
- CHIPRA
- Financing & Reimbursement
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Funding Opportunity: Support for Demonstration Ombudsman Programs Serving Medicare-Medicaid Enrollees
Date:
Topics:
- Benefits
- Cost Sharing
- Financing & Reimbursement
- Medicaid-Medicare Issues
Type: Informational Bulletin
Payment of Medicare Cost Sharing for Qualified Medicare Beneficiaries (QMBs)
Date:
Topics:
- Cost Sharing
- Financing & Reimbursement
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Coordination between Medicaid and Ryan White HIV/AIDS Programs
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: Informational Bulletin
Model Eligibility Application and Guidance on State Alternative Applications
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Administration
Type: Informational Bulletin