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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Mechanized Claims Processing and Information Retrieval Systems-Enhanced Funding
Date:
Topics:
- Cost Sharing
- Data & Systems
- Delivery System
- Financing & Reimbursement
Type: State Medicaid Director Letter
Options for Medicaid Payments in the Implementation of the Fair Labor Standards Act Regulation Changes
Date:
Topics:
- Delivery System
- Long-Term Services & Support
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
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
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
Delivery Opportunities for Individuals with a Substance Use Disorder
Date:
Topics:
- Benefits
- Delivery System
- Quality of Care
Type: Informational Bulletin
Health Insurance Providers Fee for Medicaid Managed Care Plans
Date:
Topics:
- Affordable Care Act (ACA)
- Delivery System
- Financing & Reimbursement
- Managed Care
Type: Frequently Asked Questions
Self-Direction Program Options for Medicaid Payments in the Implementation of the Fair Labor Standards Act Regulation Changes
Date:
Topics:
- Delivery System
- Long-Term Services & Support
Type: Informational Bulletin
Reducing Nonurgent Use of Emergency Departments and Improving Appropriate Care in Appropriate Settings
Date:
Topics:
- Benefits
- Cost Sharing
- Delivery System
- Financing & Reimbursement
- Quality of Care
Type: Informational Bulletin