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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Managed Care Contract Review Redesign Project
Date:
Topics:
- Benefits
- Managed Care
Type: Informational Bulletin
Implementation of Section 5052 of the SUPPORT for Patients and Communities Act – State Plan Option under Section 1915(l) of the Social Security Act
Date:
Topics:
- Benefits
Type: State Medicaid Director Letter
Serious Mental Illness (SMI) and Serious Emotional Disturbance (SED) Demonstration Opportunity Technical Assistance Questions and Answers
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: Frequently Asked Questions
Basic Health Program Funding Methodology Final Notice for Program Years 2019 and 2020
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Outcomes Based Certification for Electronic Visit Verification (EVV) Systems
Date:
Topics:
- Benefits
- Data & Systems
- Eligibility
Type: Informational Bulletin
Qualified Residential Treatment Programs FAQs
Date:
Topics:
- Benefits
- Quality of Care
Type: Frequently Asked Questions
Further Guidance on Implementation Electronic Visit Verification
Date:
Topics:
- Benefits
- Eligibility
Type: Informational Bulletin
Medicaid Opportunities in the Emergency Triage, Treat, and Transport (ET3) Model
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Medicaid-Medicare Issues
- Quality of Care
Type: Informational Bulletin
New State Flexibilities and Requirements regarding Alternative Benefit Plans (ABP) and Essential Health Benefits (EHB)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
Type: Informational Bulletin
State Guidance for Implementation of Medicaid Drug Utilization Review (DUR) provisions included in Section 1004 of the SUPPORT Act
Date:
Topics:
- Benefits
Type: Informational Bulletin