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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Living at Home in Rural America: Improving Accessibility for Older Adults and People with a Disability
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Medicaid-Medicare Issues
Type: Informational Bulletin
Treatment of Third Party Payers (TPP) in Calculating Uncompensated Care Costs
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Implementing the Patient Access and Interoperability Final Rule
Date:
Topics:
- Data & Systems
Type: State Health Official Letter
Basic Health Program Funding Methodology Final Payment Notice for Program Year 2021
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Home and Community-Based Settings Regulation – Implementation Timeline Extension and Revised Frequently Asked Questions
Date:
Topics:
- Program Administration
- Long-Term Services & Support
- COVID-19
Type: State Medicaid Director Letter
CMS Oral Health Initiative and Dental Technical Support Opportunity
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Quality of Care
Type: Informational Bulletin
Updated 2020 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-P)
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
CIB: Medicaid Managed Care Frequently Asked Questions (FAQs) – Medical Loss Ratio
Date:
Topics:
- Managed Care
- Program Administration
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
Type: Informational Bulletin
CIB: Medicaid Managed Care Options in Responding to COVID-19
Date:
Topics:
- Managed Care
- Financing & Reimbursement
- Delivery System
- COVID-19
Type: Informational Bulletin