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:
National Medicaid Drug Rebate Agreement (CMS-2397-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
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
2018 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- Quality of Care
Type: Informational Bulletin
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
Delivery System and Provider Payment Initiatives under Medicaid Managed Care Contracts
Date:
Topics:
- Benefits
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Medicaid Disproportionate Share Allotment Reductions: Final FY 2015 and Preliminary FY 2017
Date:
Topics:
- Financing & Reimbursement
Type: Regulations
Medicaid and CHIP Managed Medical Loss Ratio (MLR) Credibility Adjustments
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Promoting Access in Medicaid and CHIP Managed Care: Strategies for Ensuring Provider Network Adequacy and Service Availability
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin