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:
Payment of Medicare Cost Sharing for Qualified Medicare Beneficiaries (QMBs)
Date:
Topics:
- Cost Sharing
- Financing & Reimbursement
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Coverage of Behavioral Health Services for Children, Youth, and Young Adults with Significant Mental Health Conditions
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Model Eligibility Application and Guidance on State Alternative Applications
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Administration
Type: Informational Bulletin
Medicaid Managed Care Technical Assistance Center for States
Date:
Topics:
- Benefits
- Managed Care
- Program Administration
Type: Informational Bulletin
Prevention and Early Identification of Mental Health and Substance Use Conditions
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: Conversion to Modified Adjusted Gross Income (MAGI)
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions
CIB Update: SHO on Children's Core Set of Quality Measures & Performance Indicators for Medicaid and CHIP
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Coverage and Service Design Opportunities for Individuals with Mental Illness and Substance Use Disorders
Date:
Topics:
- Program Administration
Type: Informational Bulletin
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: Coordination Across Insurance Affordability Programs
Date:
Topics:
- Affordable Care Act (ACA)
- Delivery System
- Program Administration
Type: Frequently Asked Questions
Delay of ICD-10 Implementation and Section 1915(c) Waiver Instruction Reminder for Actions that result in Program Reductions
Date:
Topics:
- Data & Systems
- Program Administration
Type: Informational Bulletin