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
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
1115 Demonstration to Benefit Hurricane Katrina Victims
Date:
Topics:
- Benefits
- Program Administration
Type: State Health Official Letter
Dual Eligible Enrollment in Medicaid Managed Care
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Review Criteria for Children with Special Health Care Needs Mandatorily Enrolled in Managed Care
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Links:
1115 Waivers Proposal Guidelines that Target Individuals with HIV/AIDS
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Proposal for a 1915 (b) Primary Care Case Management Waivers Program
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
1915(b) Capitated Waivers Pre-Print
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Independent Assessment Guidelines for Section 1915(b) Waivers
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
Managed Care Framework for People with Special Health Care Needs
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter