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
REFINE YOUR SEARCH:
Programmatic and Financial Information Regarding CHIP in a Federal Funding Shortfall
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Program Administration
Type: Informational Bulletin
Section 1115 Demonstration Process Improvements
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
- Program Administration
Type: Informational Bulletin
State Plan Amendment and 1915 Waiver Process Improvements to Improve Transparency and Efficiency and Reduce Burden
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
- Long-Term Services & Support
- Program Administration
Type: Informational Bulletin
Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP
Date:
Topics:
- Benefits
- Program Administration
Type: Frequently Asked Questions
Medicaid and CHIP Managed Medical Loss Ratio (MLR) Credibility Adjustments
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Promoting Access in Medicaid and CHIP Managed Care: Strategies for Ensuring Provider Network Adequacy and Service Availability
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Medicaid Managed Care Regulations with July 1, 2017 Compliance Dates
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Medicaid Program: Zika Health Care Services Program (CMS-2431-N2)
Date:
Topics:
- Benefits
- Program Administration
Type: Regulations
Basic Health Program; Federal Funding Methodology for Program Year 2018
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Informational Bulletin
2017 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin