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:
Protecting Medicaid Beneficiaries Against Impermissible Fraud and Abuse Sanctions (SMD 24-005)
Date:
Topics:
- Access to Care
- Compliance
- Program Administration
- Program Integrity
Type: State Medicaid Director Letter
Links:
Medicaid and CHIP Managed Care Monitoring and Oversight Tools #3
Date:
Topics:
- Managed Care
- Program Integrity
- Children's Health Insurance Program
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools #2
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Program Integrity
- Quality of Care
- Delivery System
Type: Informational Bulletin
Medicaid Program: Reassignment of Medicaid Provider Claims Final Rule (CMS-2444-F)
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Program Administration
- Program Integrity
- Quality of Care
Type: Regulations
Third Party Liability in Medicaid: State Compliance with Changes Required in Bipartisan Budget Act of 2018 and Medicaid Services Investment and Accountability Act of 2019
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Data & Systems
- Delivery System
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- Outreach & Enrollment
- Program Administration
- Program Integrity
Type: Informational Bulletin
Medicaid Program: Reassignment of Medicaid Provider Claims (CMS-2444-P)
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Program Administration
- Program Integrity
- Quality of Care
Type: Regulations
Medicaid and CHIP Managed Care Monitoring and Oversight Tools
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Program Integrity
- Quality of Care
- Delivery System
Type: Informational Bulletin
Medicaid and Children’s Health Insurance Program (CHIP) Renewal Requirements
Date:
Topics:
- Children's Health Insurance Program
- Outreach & Enrollment
- Eligibility
- Program Administration
- Program Integrity
- COVID-19
Type: Informational Bulletin
Oversight of State Medicaid Claiming and Program Integrity Expectations
Date:
Topics:
- Financing & Reimbursement
- Program Integrity
- Eligibility
Type: Informational Bulletin
Transformed-Medicaid Statistical Information System (T-MSIS) State Compliance
Date:
Topics:
- Data & Systems
- Managed Care
- Program Administration
- Program Integrity
Type: Informational Bulletin