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
REFINE YOUR SEARCH:
Guidance for State Medicaid Agencies on Dually Eligible Beneficiaries Receiving Medicare Opioid Treatment Services Effective January 1, 2020
Date:
Topics:
- Medicaid-Medicare Issues
Type: Informational Bulletin
New Reporting Measures for Substance Use Disorder (SUD)-focused Health Homes
Date:
Topics:
- Affordable Care Act (ACA)
- Program Administration
Type: Informational Bulletin
CIB: 2020 Updates to the Adult and Child Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Further Guidance to Medicaid Bipartisan Budget Act (BBA) of 2018 and changes to Medicaid Provisions Passed in April 2019 – Third Party Liability in Medicaid and CHIP
Date:
Topics:
- Eligibility
- Financing & Reimbursement
Type: Informational Bulletin
Medicare-Medicaid Integration and Unified Appeals and Grievance Requirements for State Medicaid Agency Contracts with Medicare Advantage Dual Eligible Special Needs Plans (D-SNPs) for Contract Year 2021
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: Informational Bulletin
Managed Care Contract Review Redesign Project
Date:
Topics:
- Benefits
- Managed Care
Type: Informational Bulletin
Outcomes Based Certification for Electronic Visit Verification (EVV) Systems
Date:
Topics:
- Benefits
- Data & Systems
- Eligibility
Type: Informational Bulletin
Additional Temporary Extension of the Spousal Impoverishment Rules for Married Applicants and Recipients of Home and Community-Based Services
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Further Guidance on Implementation Electronic Visit Verification
Date:
Topics:
- Benefits
- Eligibility
Type: Informational Bulletin
Medicaid Opportunities in the Emergency Triage, Treat, and Transport (ET3) Model
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Medicaid-Medicare Issues
- Quality of Care
Type: Informational Bulletin