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:
Medicaid Opportunities for Enhanced Match for Certain PDMP Expenditures FAQs
Date:
Topics:
- Data & Systems
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions
Guidance for States on the Availability of an Extension of the Enhanced Federal Medical Assistance Percentage (FMAP) Period for Certain Medicaid Health Homes for Individuals with Substance Use Disorders (SUD)
Date:
Topics:
- Affordable Care Act (ACA)
- Program Administration
Type: Informational Bulletin
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:
Transformed-Medicaid Statistical Information System (T-MSIS) State Compliance
Date:
Topics:
- Data & Systems
- Managed Care
- Program Administration
- Program Integrity
Type: Informational Bulletin
Medicaid Strategies for Non-Opioid Chronic Pain Management
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Managed Care
Type: Informational Bulletin
2019 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
2019 Adult and Child Core Set Quality Measures
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Opportunities to Design Innovative Service Delivery Systems for Adults with a Serious Mental Illness or Children with a Serious Emotional Disturbance
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: State Medicaid Director Letter
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
Office of Management and Budget Circular A-87
Date:
Topics:
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions