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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Federal Matching Rate for Administrative Activities Performed by Skilled Professional Medical Personnel (SPMP) in Schools
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Medicaid and CHIP 4th Quarter Expenditures Report Submission-FY2002
Date:
Topics:
- Children's Health Insurance Program
Type: State Medicaid Director Letter
Medicaid Coverage of Medicare Cost-Sharing for Qualifying Individuals
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
HIPAA Model Compliance Plan Submission Deadline
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Supplemental Drug Rebate Agreements and Prior Authorization of Covered Outpatient Drugs
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
Medicaid Disproportionate Share Hospital (DSH) Program - Supplemental Upper Payment Limit Payments and Payment for Prison Inmate Care
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Promising State Practices to Reduce Unnecessary Nursing Facility Placement
Date:
Topics:
- Long-Term Services & Support
Type: State Medicaid Director Letter
Medicaid National Institutional Reimbursement Team (NIRT)
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Procedures for Requesting Retrospective Medicare Claims from Medicare's National Claims History Standard Analytical Files
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Template Applications for Independence Plus: a Program for Family or Individual Directed Community Services
Date:
Topics:
- Long-Term Services & Support
Type: State Medicaid Director Letter