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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Program Integrity for Medicaid Eligibility Workers, ICD-10 Implementation
Date:
Topics:
- Program Integrity
Type: Informational Bulletin
Test Financial Models for Medicare-Medicaid Enrollees, Affordable Insurance Exchanges NPRM, Home Health Services NPRM, PRA Package, provider-related training costs, Pharmacy Pricing Survey
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Medicaid Program; Face-to-Face Requirements for Home Health Services; Policy Changes and Clarifications Related to Home Health (CMS-2348-P)
Date:
Topics:
- Benefits
Type: Regulations
Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Tobacco Cessation Services; Annual Re-determination of Medicare Part D Low-Income Subsidy
Date:
Topics:
- Benefits
Type: Informational Bulletin
Tobacco Cessation Services 11-007
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Medicaid Director Letter
Medicaid DSH Audit and Report Info DSH Redistribution State Plan Amendments (SPA)
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Provider Preventable Conditions Final Rule; HIV Coverage; Same Sex Partners and Medicaid Liens, Transfer of Assets, Estate Recovery; Pre-Existing Condition Insurance Plan; Electronic Health Record (HER) Incentive Program, tribal clinics, FQHCs
Date:
Topics:
- Benefits
Type: Informational Bulletin
State Option to Enroll Tuberculosis (TB) Infected Individuals into Medicaid
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Same Sex Partners and Medicaid Liens, Transfers of Assets, and Estate Recovery 11-006
Date:
Topics:
- Eligibility
Type: State Medicaid Director Letter