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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Medicaid Family Planning Services and Supplies
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: State Health Official Letter
To Facilitate successful re-entry for individuals transitioning from incarceration to their communities (SHO 16-007)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: State Health Official Letter
Federally-Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Supplemental Payment Requirements and FQHC, RHC, and Freestanding Birth Center (FBC) Network Sufficiency under Medicaid and CHIP Managed Care
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Financing & Reimbursement
- Managed Care
Type: State Health Official Letter
Payment Error Rate Measurement (PERM) eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and extension of an interim approach for assessing payment error for eligibility
Date:
Topics:
- Affordable Care Act (ACA)
- Program Integrity
- Eligibility
Type: State Health Official Letter
Minimum Essential Coverage
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
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:
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
SHO Letter: Facilitating Medicaid and CHIP Enrollment and Renewal in 2014
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
Type: State Health Official Letter
Conversion of Net Income Standards to MAGI Equivalent Income Standards
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Health Official Letter
Section 1115 Demonstration Transparency Rules
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Health Official Letter