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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Initial Core Set Mandatory Reporting Guidance for the Health Home Core Quality Measure Sets and Federal Fiscal Year 2025 Updates to the Health Home Core Quality Measure Sets (SMD 24-002)
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
Type: State Medicaid Director Letter
Administrative Claiming for Nurse Advice Lines and for Skilled Professional Medical Personnel for Certain Behavioral Health Professionals (SMD 24-001)
Date:
Topics:
- Program Administration
Type: State Medicaid Director Letter
Frequently Asked Questions (FAQs) Improving Maternal Health and Extending Postpartum Coverage in Medicaid and the Children’s Health Insurance Program (CHIP) (SHO #21-007)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Program Administration
Type: Frequently Asked Questions
Frequently Asked Questions to Support the Return to Normal Eligibility Operations for Transitional Medical Assistance and Medical Support
Date:
Topics:
- Eligibility
- Outreach & Enrollment
- Program Administration
Type: Frequently Asked Questions
FAQs on Non-Payment of Premiums: Continuous Eligibility September 2023 State Health Official Letter Follow Up
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
Type: Frequently Asked Questions
Assurance of Transportation: A Medicaid Transportation Coverage Guide (SMD 23-006)
Date:
Topics:
- Benefits
- Reimbursement
Type: State Medicaid Director Letter
State Guidance on Claiming Methodologies for Medicaid Managed Care (SMD 23-005)
Date:
Topics:
- Financing & Reimbursement
- Managed Care
Type: State Medicaid Director Letter
Extension of 1915(c) Home and Community-Based Services Waiver Appendix K Expiration Dates (SMD 23-004)
Date:
Topics:
- Long-Term Services & Support
- Program Administration
Type: State Medicaid Director Letter
Opportunities to Test Transition-Related Strategies to Support Community Reentry and Improve Care Transitions for Individuals Who Are Incarcerated (SMD 23-003)
Date:
Topics:
- Benefits
- Program Administration
- Eligibility
Type: State Medicaid Director Letter
Third-Party Liability in Medicaid: State Compliance with Changes Required in Law and Court Rulings (SMD 23-002)
Date:
Topics:
- Eligibility
- Program Administration
Type: State Medicaid Director Letter