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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Covered Outpatient Drug Final Rule with Comment (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Frequently Asked Questions
Medicaid Benefits Available for the Prevention, Detection and Response to the Zika Virus
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Clarifying "Free Choice of Provider" Requirement in Conjunction with State Authority to Take Action against Medicaid Providers
Date:
Topics:
- Program Administration
Type: State Medicaid Director Letter
Final Rule: Application of Mental Health and Substance Abuse Disorder Parity Requirements to Medicaid Managed Care, CHIP, and Benchmark Coverage (CMS-2333-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Program Administration
Type: Regulations
Final Notice: Basic Health Program Federal Funding Methodology for Program Year 2017 and 2018 (CMS-2396-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Implementation of the Covered Outpatient Drug Final Regulation Provisions Regarding Reimbursement for Covered Outpatient Drugs in the Medicaid Program
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: State Medicaid Director Letter
2016 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Best Practices for Addressing Prescription Opioid Overdoses, Misuse and Addiction
Date:
Topics:
- Prescription Drugs
Type: Informational Bulletin
Alternative Benefit Plan Conforming Changes
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Program Administration
Type: Informational Bulletin
Final Rule with Comment: Covered Outpatient Drugs (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Regulations