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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2017 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Federal Funding for Services "Received Through" an IHS/Tribal Facility and Furnished to Medicaid-Eligible American Indians and Alaska Natives (SHO #16-002)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Tribal Issues
Type: Frequently Asked Questions
Medicaid Program; The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems (CMS 2402-F)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Regulations
State Flexibility to Facilitate Timely Access to Drug Therapy by Expanding the Scope of Pharmacy Practice using Collaborative Practice Agreements, Standing Orders or Other Predetermined Protocols
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Informational Bulletin
Health Services Initiative
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Quality of Care
Type: Frequently Asked Questions
Links:
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit for children and youth in managed care
Date:
Topics:
- Benefits
- Delivery System
- Managed Care
- Quality of Care
- Children's Health Insurance Program
Type: Informational Bulletin
Community First Choice State Plan Option
Date:
Topics:
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
Type: State Medicaid Director Letter
Medicaid Managed Care Technical Correction Notice CMS-2390-F3
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Regulations
Indian Provisions in the Final Medicaid and Children's Health Insurance Program Managed Care Regulations
Date:
Topics:
- Children's Health Insurance Program
- Tribal Issues
Type: Informational Bulletin
2017 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