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Guidance

As part of the state-federal partnership in administering the Medicaid programs, the Centers for Medicaid and CHIP Services (CMCS) issues technical assistance in the form of letters to State Medicaid Directors, Informational Bulletins, Issue Briefs, and Frequently Asked Questions (FAQs) to communicate with states and other stakeholders regarding operational issues related to Medicaid. Managed care technical assistance is available to assist state Medicaid agencies in developing, enhancing, implementing, and evaluating managed care programs.

Final Rules

CMS has updated regulations for Medicaid and CHIP Managed Care in 2016, 2017, and 2020. Additional information on all updated Medicaid and CHIP Managed Care Final Rules is available. For questions regarding Managed Care, please email ManagedCareRule@cms.hhs.gov.

Medicaid and CHIP Managed Care Monitoring and Oversight

CMS is committed to strengthening the monitoring and oversight of Medicaid and CHIP managed care programs. To do so, the agency is developing a series of state reporting templates and technical assistance toolkits. Additional information on the Medicaid and CHIP Managed Care Monitoring and Oversight Tools is available. CMS looks forward to engaging and collaborating with states on the implementation of these tools and anticipates issuing additional tools periodically to improve its monitoring and oversight activities.

Other Guidance

Guidance is also available on the following Topics: