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
REFINE YOUR SEARCH:
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
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
Funding Opportunity: Support for Demonstration Ombudsman Programs Serving Medicare-Medicaid Enrollees
Date:
Topics:
- Benefits
- Cost Sharing
- Financing & Reimbursement
- Medicaid-Medicare Issues
Type: Informational Bulletin
Medicaid Administrative Funding Availability for Long Term Care Ombudsman Program Expenditures
Date:
Topics:
- Cost Sharing
- Financing & Reimbursement
- Long-Term Services & Support
Type: Informational Bulletin
Links:
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Cost Sharing
- Financing & Reimbursement
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
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: Enhanced Funding for Medicaid Eligibility Systems Operation and Maintenance
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Delivery System
- Eligibility
- Financing & Reimbursement
Type: Frequently Asked Questions
Final Rule with Comment: Increased FMAP through the Affordable Care Act
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Financing & Reimbursement
Type: Regulations
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: Premium Assistance
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Financing & Reimbursement
Type: Frequently Asked Questions
Federal and State Oversight of Medicaid Expenditures
Date:
Topics:
- Cost Sharing
- Financing & Reimbursement
- Affordable Care Act (ACA)
- Children's Health Insurance Program
Type: State Medicaid Director Letter