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 Program; The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Regulations
FAQ: Medicaid and CHIP Managed Care Final Rule (CMS-2390-F)
Date:
Topics:
- Delivery System
- Managed Care
Type: Frequently Asked Questions
The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Addendum to 2016 Medicaid Managed Care Rate Development Guide
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Federal Financial Participation for Managed Care External Quality Review
Date:
Topics:
- Quality of Care
- Managed Care
Type: Informational Bulletin
Federally-Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Supplemental Payment Requirements and FQHC, RHC, and Freestanding Birth Center (FBC) Network Sufficiency under Medicaid and CHIP Managed Care
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Financing & Reimbursement
- Managed Care
Type: State Health Official Letter
Final Rule: Medicaid and CHIP Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions related to Third Party Liability CMS-2390-F
Date:
Topics:
- Children's Health Insurance Program
- Quality of Care
- Delivery System
- Managed Care
Type: Regulations
Medicaid and CHIP Managed Care Notice of Proposed Rule (CMS 2390-P)
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Delivery System
Type: Regulations
Medicaid Managed Care Marketing Regulations
Date:
Topics:
- Affordable Care Act (ACA)
- Delivery System
- Financing & Reimbursement
- Managed Care
Type: Frequently Asked Questions
Health Insurance Providers Fee for Medicaid Managed Care Plans
Date:
Topics:
- Affordable Care Act (ACA)
- Delivery System
- Financing & Reimbursement
- Managed Care
Type: Frequently Asked Questions