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 and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-2334-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
Type: Regulations
Medicaid Information Technology Architecture Guidance - Draft Eligibility and Enrollment Supplement, Version 3.0
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Eligibility
Type: Informational Bulletin
Release of Eligibility Final Rule and CHIPRA Outreach Grants
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- CHIPRA
- Eligibility
Type: Informational Bulletin
Funding Opportunity: Support for Demonstration Ombudsman Programs Serving Medicare-Medicaid Enrollees
Date:
Topics:
- Benefits
- Cost Sharing
- Financing & Reimbursement
- Medicaid-Medicare Issues
Type: Informational Bulletin
Medicaid Administrative Funding Availability for Long Term Care Ombudsman Program Expenditures
Date:
Topics:
- Cost Sharing
- Financing & Reimbursement
- Long-Term Services & Support
Type: Informational Bulletin
Links:
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Cost Sharing
- Financing & Reimbursement
Type: Informational Bulletin
Payment of Medicare Cost Sharing for Qualified Medicare Beneficiaries (QMBs)
Date:
Topics:
- Cost Sharing
- Financing & Reimbursement
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
SHO Letter: Facilitating Medicaid and CHIP Enrollment and Renewal in 2014
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
Type: State Health Official Letter
Coordination between Medicaid and Ryan White HIV/AIDS Programs
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: Informational Bulletin
Model Eligibility Application and Guidance on State Alternative Applications
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Administration
Type: Informational Bulletin