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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Reducing Nonurgent Use of Emergency Departments and Improving Appropriate Care in Appropriate Settings
Date:
Topics:
- Benefits
- Cost Sharing
- Delivery System
- Financing & Reimbursement
- Quality of Care
Type: Informational Bulletin
Funding for the New Adult Group, Coverage of Former Foster Care Children and CHIP Financing
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions
2014 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- Quality of Care
Type: Informational Bulletin
Proposed Notice: Basic Health Program (CMS-2380-PN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Proposed Payment Notice: Basic Health Program (CMS-2380-PN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Informational Bulletin
Medicaid and CHIP Application and Eligibility Data
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Data & Systems
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
NPRM: Basic Health Program (CMS-2380-P)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Release of Basic Health Program Proposed Rule (CMS-2380-P)
Date:
Topics:
- Benefits
- Eligibility
- Financing & Reimbursement
- Program Administration
- Affordable Care Act (ACA)
- Cost Sharing
- Basic Health Program
Type: Informational Bulletin
CMS Answers to Frequently Asked Questions:Telephonic Applications, Medicaid and CHIP Eligibility Policy and 75/25 Federal Matching Rate
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Program Administration
- Affordable Care Act (ACA)
Type: Frequently Asked Questions
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