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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2020 Medicaid Managed Care Final Rule
Date:
Topics:
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Managed Care
- Program Administration
Type: Regulations
Basic Health Program Funding Methodology Proposed Payment Notice for Program Year 2022
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Basic Health Program Funding Methodology Final Payment Notice for Program Year 2021
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Home and Community-Based Settings Regulation – Implementation Timeline Extension and Revised Frequently Asked Questions
Date:
Topics:
- Program Administration
- Long-Term Services & Support
- COVID-19
Type: State Medicaid Director Letter
Updated 2020 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-P)
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
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
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
- COVID-19
Type: Informational Bulletin
COVID-19 Public Health Emergency Section 1115(a) Opportunity for States
Date:
Topics:
- Program Administration
- COVID-19
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