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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CIB: Medicaid Managed Care Frequently Asked Questions (FAQs) – Medical Loss Ratio
Date:
Topics:
- Managed Care
- Program Administration
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
Type: Informational Bulletin
CIB: Medicaid Managed Care Options in Responding to COVID-19
Date:
Topics:
- Managed Care
- Financing & Reimbursement
- Delivery System
Type: Informational Bulletin
Medicaid Substance Use Disorder Treatment via Telehealth, and Rural Health Care and Medicaid Telehealth Flexibilities guidance
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Program Administration
Type: Informational Bulletin
COVID-19 Public Health Emergency Section 1115(a) Opportunity for States
Date:
Topics:
- Program Administration
Type: State Medicaid Director Letter
2020 Medicaid Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Access to Mental Health and Substance Use Disorder Services for Children and Pregnant Women in the Children’s Health Insurance Program
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Program Administration
Type: State Health Official Letter
Preadmission Screening and Resident Review (PASRR) (CMS-2418-P)
Date:
Topics:
- Long-Term Services & Support
- Benefits
Type: Regulations
New Extension of the Affordable Care Act’s Spousal Impoverishment Provision for Married Applicants and Recipients of Home and Community-Based Services
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Basic Health Program Funding Methodology Proposed Payment Notice for Program Year 2021
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
Type: Regulations
Healthy Adult Opportunity Demonstration
Date:
Topics:
- Program Administration
- Delivery System
Type: State Medicaid Director Letter