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:
Final Rule: Medicaid Disproportionate Share Hospital Payments-Auditing and Reporting Requirements
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Links:
Federal Upper Limit Listing Update
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
State False Claims Act and Refund of Federal Share
Date:
Topics:
- Financing & Reimbursement
Type: State Health Official Letter
Medicaid-Medicare Coordination of Provider Payment Policies; Hospital-Acquired Conditions (HAC's); Never Events
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
High Risk Pool Funding
Date:
Topics:
- Financing & Reimbursement
Type: State Health Official Letter
Links:
Tamper-Resistant Prescription Pads
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
Medicaid Drug Rebate Program Final Rule and Average Manufacturer Price (AMP)
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
Medicaid Transformation Grants
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Medicaid Transformation Grants
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Drug Rebates State Collection and Submission of Data
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter