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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Proposed Rule: Medicaid Fiscal Accountability Regulation (MFAR)
Date:
Topics:
- Financing & Reimbursement
Type: Regulations
Serious Mental Illness (SMI) and Serious Emotional Disturbance (SED) Demonstration Opportunity Technical Assistance Questions and Answers
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: Frequently Asked Questions
Basic Health Program Funding Methodology Final Notice for Program Years 2019 and 2020
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Disproportionate Share Hospital Reductions CMS-2394-F
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Medicaid Opportunities in the Emergency Triage, Treat, and Transport (ET3) Model
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Medicaid-Medicare Issues
- Quality of Care
Type: Informational Bulletin
New State Flexibilities and Requirements regarding Alternative Benefit Plans (ABP) and Essential Health Benefits (EHB)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
Type: Informational Bulletin
Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: Informational Bulletin
Access to Covered Medicaid Services-Rescission
Date:
Topics:
- Financing & Reimbursement
Type: Regulations
Comprehensive Strategy for Monitoring Access in Medicaid
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Oversight of State Medicaid Claiming and Program Integrity Expectations
Date:
Topics:
- Financing & Reimbursement
- Program Integrity
- Eligibility
Type: Informational Bulletin