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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Medicare Nursing Home Value-Based Purchasing Demonstration
Date:
Topics:
- Quality of Care
Type: State Medicaid Director Letter
Federal Upper Limit Listing Update
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
State False Claims Act and Refund of Federal Share
Date:
Topics:
- Financing & Reimbursement
Type: State Health Official Letter
Medicare Data Access; Coordination of Benefits Agreement Modification
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Integrated Care for Dual Eligibles State Plan Preprint
Date:
Topics:
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
Medicaid-Medicare Coordination of Provider Payment Policies; Hospital-Acquired Conditions (HAC's); Never Events
Date:
Topics:
- Financing & Reimbursement
Type: State Medicaid Director Letter
Strengthen Program Integrity and Reduce Improper Payments to Providers
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
Children's Health Insurance Program Crowd Out Prevention
Date:
Topics:
- Children's Health Insurance Program
Type: State Health Official Letter
High Risk Pool Funding
Date:
Topics:
- Financing & Reimbursement
Type: State Health Official Letter
Links:
Medicaid Integrity Program Established
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter