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:
Final FY 2016 and Preliminary FY 2018 Disproportionate Share Hospital Allotments, and Final FY 2016 and Preliminary FY 2018 Institutions for Mental Diseases Disproportionate Share Hospital Limits
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Medicaid Provisions in Recently Passed Federal Budget Legislation Bipartisan Budget Act of 2018 - Third Party Liability in Medicaid and CHIP
Date:
Topics:
- Eligibility
- Financing & Reimbursement
Type: Informational Bulletin
Mechanized Claims Processing and Information Retrieval Systems - Reuse
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Methods for Assuring Access to Care: Exceptions for High Managed Care Penetration & Rate Reduction Threshold (CMS 2406-P)
Date:
Topics:
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Regulations
National Medicaid Drug Rebate Agreement (CMS-2397-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
2018 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Corrected - Limit on Federal Financial Participation for Durable Medical Equipment in Medicaid
Date:
Topics:
- Financing & Reimbursement
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
Links:
Limit on Federal Financial Participation for Durable Medical Equipment in Medicaid
Date:
Topics:
- Financing & Reimbursement
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
Medicaid Access to Care Implementation Guidance
Date:
Topics:
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Programmatic and Financial Information Regarding CHIP in a Federal Funding Shortfall
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Program Administration
Type: Informational Bulletin