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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State Plan Amendment and 1915 Waiver Process Improvements to Improve Transparency and Efficiency and Reduce Burden
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Eligibility
- Long-Term Services & Support
- Program Administration
Type: Informational Bulletin
Delivery System and Provider Payment Initiatives under Medicaid Managed Care Contracts
Date:
Topics:
- Benefits
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Strategies to Address the Opioid Epidemic
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Managed Care
Type: State Medicaid Director Letter
Annual Reassignments for Certain Low-Income Subsidy Eligible Individuals
Date:
Topics:
- Benefits
- Eligibility
- Medicaid-Medicare Issues
Type: Informational Bulletin
Mental Health and Substance Use Disorder Parity Final Rule for Medicaid and CHIP
Date:
Topics:
- Benefits
- Program Administration
Type: Frequently Asked Questions
Institution for Mental Disease (IMD) Frequently Asked Questions (FAQs)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: Frequently Asked Questions
Implications of the Cures Act for Special Needs Trusts
Date:
Topics:
- Benefits
- Eligibility
Type: State Medicaid Director Letter
Medicaid and CHIP Managed Medical Loss Ratio (MLR) Credibility Adjustments
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Promoting Access in Medicaid and CHIP Managed Care: Strategies for Ensuring Provider Network Adequacy and Service Availability
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Medicaid-Medicare Issues
Type: Informational Bulletin