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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Foster Care Independence Program and Coverage for Individuals Transitioning from Foster Care
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Children's Health Insurance Program Fourth Quarter Expenditure Reports
Date:
Topics:
- Children's Health Insurance Program
Type: State Medicaid Director Letter
Promoting Influenza and Pneumococcal Vaccines to Adult Residents at Nursing Facilities
Date:
Topics:
- Quality of Care
Type: State Medicaid Director Letter
Public Service Announcements De-Linking TANF and Medicaid
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Federal Upper Limits for Prescription Drugs
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
National Coverage Decision for Costs Related to Participation in Clinical Trials
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Grant Announcement-Infrastructure Grants and Demonstrations to Maintain Independence and Employment; Ticket to Work and Work Incentives Improvement Act (TWWIIA)
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Cost-Based Reimbursement, Financial Incentives and Managed Care Organization Insolvency-FQHCs/RHCs
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Links:
Medicaid Eligibility Quality Control (MEQC) and Simplification of Application and Enrollment Processes
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Cost-Avoidance Requirements and Statement of Intent to Claim Medicare Benefits
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter