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:
State Guidance on Claiming Methodologies for Medicaid Managed Care (SMD 23-005)
Date:
Topics:
- Financing & Reimbursement
- Managed Care
Type: State Medicaid Director Letter
Additional Guidance on Use of In Lieu of Services and Settings in Medicaid Managed Care (SMD 23-001)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Managed Care
Type: State Medicaid Director Letter
Links:
Additional Guidance on Section 9815 of the American Rescue Plan Act of 2021 (SMD 22-006)
Date:
Topics:
- Program Administration
- Financing & Reimbursement
Type: State Medicaid Director Letter
Guidance on Nursing Facility State Plan Payment and Upper Payment Limit Approaches in Medicaid Relying on the Medicare Patient-Driven Payment Model (SMD 22-005)
Date:
Topics:
- Financing & Reimbursement
- COVID-19
Type: State Medicaid Director Letter
Updated Reporting Requirements and Extension of Deadline to Fully Expend State Funds Under American Rescue Plan Act of 2021 Section 9817 (SMD 22-002)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
Type: State Medicaid Director Letter
New Supplemental Payment Reporting and Medicaid Disproportionate Share Hospital Requirements under the Consolidated Appropriations Act, 2021
Date:
Topics:
- Affordable Care Act
- Financing & Reimbursement
Type: State Medicaid Director Letter
Implementation of American Rescue Plan Act of 2021 Section 9817: Additional Support for Medicaid Home and Community-Based Services during the COVID-19 Emergency
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- COVID-19
Type: State Medicaid Director Letter
Additional Guidance on State Directed Payments in Medicaid Managed Care
Date:
Topics:
- Managed Care
- Program Administration
- Delivery System
- Financing & Reimbursement
Type: State Medicaid Director Letter
Value-Based Care Opportunities in Medicaid
Date:
Topics:
- Delivery System
- Value-based Care
- Financing & Reimbursement
- COVID-19
Type: State Medicaid Director Letter
Mechanized Claims Processing and Information Retrieval Systems - Reuse
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter