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:
Three New Opportunities to Test Innovative Models of Integrated Care for Individuals Dually Eligible for Medicaid and Medicare
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
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
2019 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Strategies to Support Dually Eligible Individuals Access to DMEPOS
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: Informational Bulletin
Ten Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
2019 Adult and Child Core Set Quality Measures
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
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