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
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Revised State Plan Amendment Review Process 10 020
Date:
Topics:
- Program Administration
Type: State Medicaid Director Letter
Federal Funding for Medicaid HIT Activities
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Topics:
- Cost Sharing
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Political Subdivisions
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Links:
Medicare Prescription Drugs Clawback Update
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Medicare Prescription Drugs Revised Clawback Calculations
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Additional guidance on the implementation of Section 6087 of the Deficit Reduction Act of 2005 (DRA), Public Law Number 109-171. Section 6087, the Optional Choice of Self-Directed Personal Assistance Services (PAS) (Cash and Counseling)
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Program Administration
Type: State Medicaid Director Letter
Prompt Pay Requirements and Claims Processing Requirements
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Final Rule: Medicaid Disproportionate Share Hospital Payments-Auditing and Reporting Requirements
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
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State False Claims Act and Refund of Federal Share
Date:
Topics:
- Financing & Reimbursement
Type: State Health Official Letter
Medicaid-Medicare Coordination of Provider Payment Policies; Hospital-Acquired Conditions (HAC's); Never Events
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter