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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Strengthen Program Integrity and Reduce Improper Payments to Providers
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
Medicaid Integrity Program Established
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
Employee Education for False Claims Recovery Final Guidance
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
Employee Education About False Claims Recovery
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
State False Claims Act Implementation Incentive
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
1115 Demonstration to Benefit Hurricane Katrina Victims
Date:
Topics:
- Benefits
- Program Administration
Type: State Health Official Letter
State Obligation to Notify HHS OIG for Administrative Sanctions on Beneficiaries
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
State Obligation to Notify HHS OIG on Sanctions against Medicaid Beneficiaries
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
Medicaid Eligibility Quality Control (MEQC)
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
Fraud and Abuse
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
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