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:
Budget Neutrality Policies for Section 1115(a) Medicaid Demonstration Projects
Date:
Topics:
- Benefits
- Program Administration
Type: State Medicaid Director Letter
Update on State Plan Amendment and Section 1915 Waiver Process Improvements
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
- Long-Term Services & Support
- Program Administration
Type: Informational Bulletin
Transformed-Medicaid Statistical Information System (T-MSIS)
Date:
Topics:
- Data & Systems
- Managed Care
- Program Administration
- Program Integrity
Type: State Health Official Letter
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
Neonatal Abstinence Syndrome: A Critical Role for Medicaid in the Care of Infants
Date:
Topics:
- Benefits
- Delivery System
- Program Administration
- Quality of Care
Type: Informational Bulletin
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