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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The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Coordination of Eligibility and Enrollment between Medicaid, CHIP and the Federally Facilitated Marketplace (FFM or "Marketplace")
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Benefits
- Cost Sharing
- Medicaid-Medicare Issues
- Financing & Reimbursement
- Eligibility
Type: Informational Bulletin
Addendum to 2016 Medicaid Managed Care Rate Development Guide
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Mechanized Claims Processing and Information Retrieval Systems -APD Requirements
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Federal public notice and public process requirements for changes to Medicaid payment rates
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Informational Bulletin
Medicaid Family Planning Services and Supplies
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: State Health Official Letter
Medicaid Benefits Available for the Prevention, Detection and Response to the Zika Virus
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Maternal Depression Screening and Treatment: A Critical Role for Medicaid in the Care of Mothers and Children
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Quality of Care
Type: Informational Bulletin
Social Security Number Removal Initiative (SSNRI)
Date:
Topics:
- Data & Systems
Type: Informational Bulletin