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:
Office of Management and Budget Circular A-87
Date:
Topics:
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions
Budget Neutrality Policies for Section 1115(a) Medicaid Demonstration Projects
Date:
Topics:
- Benefits
- Program Administration
Type: State Medicaid Director Letter
Update on State Plan Amendment and Section 1915 Waiver Process Improvements
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
- Long-Term Services & Support
- Program Administration
Type: Informational Bulletin
Transformed-Medicaid Statistical Information System (T-MSIS)
Date:
Topics:
- Data & Systems
- Managed Care
- Program Administration
- Program Integrity
Type: State Health Official Letter
Requirements of Section 12005 of the 21st Century Cures Act - EPSDT
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Eligibility
- Managed Care
- Quality of Care
Type: Informational Bulletin
Neonatal Abstinence Syndrome: A Critical Role for Medicaid in the Care of Infants
Date:
Topics:
- Benefits
- Delivery System
- Program Administration
- Quality of Care
Type: Informational Bulletin
Aligning Dental Payment Policies and Periodicity Schedules in the Medicaid and CHIP Programs
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
2018 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Rescinding SMD # 16-005 Clarifying "Free Choice of Provider" Requirement
Date:
Topics:
- Program Administration
Type: State Medicaid Director Letter
2018 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- Quality of Care
Type: Informational Bulletin