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:
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
Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Basic Health Program
- COVID-19
- Unwinding
Type: State Health Official Letter
2020 Medicaid Managed Care Final Rule
Date:
Topics:
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Managed Care
- Program Administration
Type: Regulations
Basic Health Program Funding Methodology Proposed Payment Notice for Program Year 2022
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Support for Family-Focused Residential Treatment-Title IV-E and Medicaid Guidance (SUPPORT Act Section 8081)
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Managed Care
Type: Informational Bulletin
Value-Based Care Opportunities in Medicaid
Date:
Topics:
- Delivery System
- Value-based Care
- Financing & Reimbursement
- COVID-19
Type: State Medicaid Director Letter
Nursing Home Strategies for COVID-19 Only Isolation of COVID-19 Residents
Date:
Topics:
- Financing & Reimbursement
- COVID-19
Type: Informational Bulletin
Treatment of Third Party Payers (TPP) in Calculating Uncompensated Care Costs
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Basic Health Program Funding Methodology Final Payment Notice for Program Year 2021
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
CIB: Medicaid Managed Care Frequently Asked Questions (FAQs) – Medical Loss Ratio
Date:
Topics:
- Managed Care
- Program Administration
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
Type: Informational Bulletin