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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Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Tobacco Cessation Services 11-007
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Medicaid Director Letter
Medicaid DSH Audit and Report Info DSH Redistribution State Plan Amendments (SPA)
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Medicaid Program; Payment Adjustment for Provider-Preventable Conditions Including Health Care-Acquired Conditions (CMS-2400-F)
Date:
Topics:
- Affordable Care Act (ACA)
Type: Regulations
Freedom of Choice of Providers; Exchange / Medicaid Information Technology, CHIPRA Quality Measures
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Links:
Termination of Provider Participation under Medicaid if Terminated under Medicare
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Access on Covered Medicaid Services NPRM, Health Information Exchange, Concurrent Hospice Care for Children draft preprint
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Medicaid Program; Methods for Assuring Access to Covered Medicaid Services (CMS-2328-P)
Date:
Topics:
- Financing & Reimbursement
Type: Regulations
National Correct Coding Initiative; Translation & Interpretation Services; National Background Check Program for Patient Protection Solicitation, Oral Health Strategy
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Develop and Upgrade Eligibility & Enrollment Information Technology Systems; Reduce Barriers to Community-Based Care; Dual Eligibles Care Delivery
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin