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:
Basic Health Program; Federal Funding Methodology for Program Years 2019 and 2020 (CMS-2407-PN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Links:
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
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
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
NPRM: Medicaid and Children's Health Insurance Program (CHIP) Managed Care (CMS-2408-P)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Regulations
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
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