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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Implementation of the Covered Outpatient Drug Final Regulation Provisions Regarding Reimbursement for Covered Outpatient Drugs in the Medicaid Program
Date:
Topics:
- Affordable Care Act (ACA)
- Prescription Drugs
Type: State Medicaid Director Letter
SMD: New Service Delivery Opportunities for Individuals with a Substance Use Disorder
Date:
Topics:
- Benefits
- Delivery System
Type: State Medicaid Director Letter
Tri-Agency Letter on Cost Allocation Requirements Set Forth in OMB Circular A-87
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Medicaid Director Letter
Medicaid/CHIP Provider Fingerprint-Based Criminal Background Check
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Medicaid Director Letter
Affordable Care Act's Amendments to the Spousal Impoverishment Statute
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Long-Term Services & Support
Type: State Medicaid Director Letter
Medicaid Payment for Services Provided without Charge
Date:
Topics:
- Benefits
- Financing & Reimbursement
Type: State Medicaid Director Letter
United States v. Windsor and Non-MAGI Populations
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Accountability #2: Financing and Donations
Date:
Topics:
- Financing & Reimbursement
- Program Administration
- Program Integrity
Type: State Medicaid Director Letter
Family Planning and Family Planning Related Services Clarification
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: State Medicaid Director Letter
Application of Long Term Care Related Asset and Income Rules to MAGI Individuals
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Long-Term Services & Support
Type: State Medicaid Director Letter