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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Upper Payment Limit Requirements
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Second Grant Solicitation - Ticket to Work and Work Incentives Improvement Act (TWIIA)
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Coverage of Asthma and Asthma-Related Services
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Medicaid Simplification Strategies and Program Integrity
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter
Review Criteria for Children with Special Health Care Needs Mandatorily Enrolled in Managed Care
Date:
Topics:
- Managed Care
Type: State Medicaid Director Letter
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Targeted Case Management
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Links:
Targeted Case Management
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Links:
AIDS Drug Assistance Program 340B Rebate Option
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
Improving Children's Access to Dental Services State Compliance
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Outstationing Medicaid Eligibility for Pregnant Women and Children
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter