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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Long Term Services and Supports Delivered Through Medicaid Managed Care Programs - Continued Technical Assistance
Date:
Topics:
- Delivery System
- Long-Term Services & Support
- Managed Care
Type: Informational Bulletin
Implications of United States v Windsor for Medicaid and CHIP
Date:
Topics:
- Eligibility
- Program Administration
Type: State Health Official Letter
NPRM: Basic Health Program (CMS-2380-P)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Release of Basic Health Program Proposed Rule (CMS-2380-P)
Date:
Topics:
- Benefits
- Eligibility
- Financing & Reimbursement
- Program Administration
- Affordable Care Act (ACA)
- Cost Sharing
- Basic Health Program
Type: Informational Bulletin
Eligibility Reviews Under PERM and MEQC
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Integrity
Type: Informational Bulletin
Payment Error Rate Measurement (PERM) eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and development of an interim approach for assessing payment error for eligibility
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Integrity
Type: State Health Official Letter
CMS Answers to Frequently Asked Questions:Telephonic Applications, Medicaid and CHIP Eligibility Policy and 75/25 Federal Matching Rate
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Program Administration
- Affordable Care Act (ACA)
Type: Frequently Asked Questions
Targeting Medicaid Super-Utilizers to Decrease Costs and Improve Quality
Date:
Topics:
- Delivery System
- Program Administration
- Quality of Care
Type: Informational Bulletin
Medicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-2334-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
Type: Regulations
Medicaid Information Technology Architecture Guidance - Draft Eligibility and Enrollment Supplement, Version 3.0
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Eligibility
Type: Informational Bulletin