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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Minimum Essential Coverage
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
Type: State Health Official Letter
Links:
Health Care-Related Taxes
Date:
Topics:
- Financing & Reimbursement
Type: State Health Official Letter
Links:
New Flexibility: Using Account Transfer Flat Files to Enroll Individuals in Medicaid and CHIP
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Outreach & Enrollment
Type: State Health Official Letter
Links:
Quality Considerations for Medicaid and CHIP Programs
Date:
Topics:
- Quality of Care
Type: State Health Official Letter
Implications of United States v Windsor for Medicaid and CHIP
Date:
Topics:
- Eligibility
- Program Administration
Type: State Health Official Letter
Payment Error Rate Measurement (PERM) eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and development of an interim approach for assessing payment error for eligibility
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Integrity
Type: State Health Official Letter
Guidance on State Alternative Applications for Health Coverage
Date:
Topics:
- Eligibility
Type: State Health Official Letter
SHO Letter: Facilitating Medicaid and CHIP Enrollment and Renewal in 2014
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
Type: State Health Official Letter
2013 Children's Core Set of Health Care Quality Measures
Date:
Topics:
- Quality of Care
Type: State Health Official Letter
Application of the Mental Health Parity and Addiction Equity Act to Medicaid MCOs, CHIP, and Alternative Benefit (Benchmark) Plans
Date:
Topics:
- Benefits
Type: State Health Official Letter