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:
Proposed Rule: Medicaid Disproportionate Share Hospital (DSH) Payments: Treatment of Third Party Payers in Calculating Uncompensated Costs: CMS 2399-P
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Benefits
- Cost Sharing
- Medicaid-Medicare Issues
- Financing & Reimbursement
- Eligibility
Type: Informational Bulletin
Covered Outpatient Drug Final Rule with Comment (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Frequently Asked Questions
Addendum to 2016 Medicaid Managed Care Rate Development Guide
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Mechanized Claims Processing and Information Retrieval Systems -APD Requirements
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Federal public notice and public process requirements for changes to Medicaid payment rates
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Informational Bulletin
Federal Financial Participation for Managed Care External Quality Review
Date:
Topics:
- Quality of Care
- Managed Care
Type: Informational Bulletin
Maternal Depression Screening and Treatment: A Critical Role for Medicaid in the Care of Mothers and Children
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Quality of Care
Type: Informational Bulletin
Federally-Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Supplemental Payment Requirements and FQHC, RHC, and Freestanding Birth Center (FBC) Network Sufficiency under Medicaid and CHIP Managed Care
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Financing & Reimbursement
- Managed Care
Type: State Health Official Letter