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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State Flexibility to Facilitate Timely Access to Drug Therapy by Expanding the Scope of Pharmacy Practice using Collaborative Practice Agreements, Standing Orders or Other Predetermined Protocols
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Informational Bulletin
Strategies to Support Dual Eligible Beneficiaries' Access to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Medicaid-Medicare Issues
Type: Informational Bulletin
Health Services Initiative
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Quality of Care
Type: Frequently Asked Questions
Links:
Medicaid Family Planning Services and Supplies
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: Frequently Asked Questions
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit for children and youth in managed care
Date:
Topics:
- Benefits
- Delivery System
- Managed Care
- Quality of Care
- Children's Health Insurance Program
Type: Informational Bulletin
Medicaid Beneficiaries in Home and Community-Based Settings who Exhibit Unsafe Wandering or Exit-Seeking Behavior
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: Frequently Asked Questions
Indian Provisions in the Final Medicaid and Children's Health Insurance Program Managed Care Regulations
Date:
Topics:
- Children's Health Insurance Program
- Tribal Issues
Type: Informational Bulletin
Strengthening Program Integrity in Medicaid Personal Care Services
Date:
Topics:
- Eligibility
- Program Integrity
Type: Informational Bulletin
2017 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- Quality of Care
Type: Informational Bulletin
2017 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin