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:
Mechanized Claims Processing and Information Retrieval Systems (90/10) Final Rule (CMS 2392-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Links:
Final Rule with Comment: Methods for Assuring Access to Covered Medicaid Services
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Medicaid-Medicare Issues
- Benefits
- Eligibility
- Cost Sharing
- Financing & Reimbursement
Type: Informational Bulletin
SMD: New Service Delivery Opportunities for Individuals with a Substance Use Disorder
Date:
Topics:
- Benefits
- Delivery System
Type: State Medicaid Director Letter
State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals (QI)
Date:
Topics:
- Financing & Reimbursement
Type: Regulations
Medicaid and CHIP Managed Care Notice of Proposed Rule (CMS 2390-P)
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Delivery System
Type: Regulations
Mechanized Claims Processing and Information Retrieval Systems Proposed Rule (CMS 2392-P)
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: Regulations
Basic Health Program: Federal Funding Methodology for Program Year 2016
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Coverage of Behavioral Health Services for Youth with Substance Use
Date:
Topics:
- Benefits
- Delivery System
- Program Administration
- Quality of Care
Type: Informational Bulletin
Medicaid Managed Care Marketing Regulations
Date:
Topics:
- Affordable Care Act (ACA)
- Delivery System
- Financing & Reimbursement
- Managed Care
Type: Frequently Asked Questions