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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Prohibition on Payments to Institutions or Entities Located Outside of the United States 10-026
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Links:
State Demonstrations to Integrate Care for Dual Eligible Individuals
Date:
Topics:
- Medicaid-Medicare Issues
Type: Informational Bulletin
Political Subdivisions
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Links:
Federal Funding for Medicaid HIT Activities
Date:
Topics:
- Cost Sharing
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Political Subdivisions
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Links:
Medicare Prescription Drugs Clawback Update
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Medicare Prescription Drugs Revised Clawback Calculations
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Prompt Pay Requirements and Claims Processing Requirements
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Final Rule: Medicaid Disproportionate Share Hospital Payments-Auditing and Reporting Requirements
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Links:
State False Claims Act and Refund of Federal Share
Date:
Topics:
- Financing & Reimbursement
Type: State Health Official Letter