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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Ten Opportunities to Better Serve Individuals Dually Eligible for Medicaid and Medicare
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
Nursing Facility Case-Mix Payment Changes
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Informational Bulletin
2019 Adult and Child Core Set Quality Measures
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
2019 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Opportunities to Design Innovative Service Delivery Systems for Adults with a Serious Mental Illness or Children with a Serious Emotional Disturbance
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: State Medicaid Director Letter
Home & Community Based Services (HCBS) Spousal Impoverishment Expiration (HCBS Sunset)
Date:
Topics:
- Eligibility
- Long-Term Services & Support
Type: Informational Bulletin
Strong Start for Mothers and Newborns initiative (Strong Start)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Quality of Care
Type: Informational Bulletin
NPRM: Medicaid and Children's Health Insurance Program (CHIP) Managed Care (CMS-2408-P)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Regulations
Key Provisions of Legislation Extending Federal Funding for CHIP
Date:
Topics:
- Children's Health Insurance Program
- Financing & Reimbursement
Type: State Health Official Letter
Office of Management and Budget Circular A-87
Date:
Topics:
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions