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:
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
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
Medicaid Opportunities for Enhanced Match for Certain PDMP Expenditures FAQs
Date:
Topics:
- Data & Systems
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions
Medicaid Prescription Spread Pricing
Date:
Topics:
- Financing & Reimbursement
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Informational Bulletin
Three New Opportunities to Test Innovative Models of Integrated Care for Individuals Dually Eligible for Medicaid and Medicare
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
Basic Health Program; Federal Funding Methodology for Program Years 2019 and 2020 (CMS-2407-PN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
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