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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Final Rule and Interim Final Rule with Comment Period: Medicaid Program; Covered Outpatient Drug; Finalization of Line Extension Definition; and Change to the Rebate Calculation for Line Extension Drugs (CMS-2345-F2 and 2345-IFC2)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type:
Final and Preliminary Allotments for Disproportionate Share Hospitals and Texas PETI Compliance Action
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
2019 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Final FY 2017 and Preliminary FY 2019 Disproportionate Share Hospital Allotments, and Final FY 2017 and Preliminary FY 2019 Institutions for Mental Diseases Disproportionate Share Hospital Limits
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Strategies to Support Dually Eligible Individuals Access to DMEPOS
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: Informational Bulletin
Ten Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
Nursing Facility Case-Mix Payment Changes
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Informational Bulletin
Strong Start for Mothers and Newborns initiative (Strong Start)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Quality of Care
Type: Informational Bulletin
Key Provisions of Legislation Extending Federal Funding for CHIP
Date:
Topics:
- Children's Health Insurance Program
- Financing & Reimbursement
Type: State Health Official Letter
Office of Management and Budget Circular A-87
Date:
Topics:
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions