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:
Supplemental Drug Rebate Agreements and Prior Authorization of Covered Outpatient Drugs
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Medicaid and CHIP Updates
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Links:
Tri- Agency Letter on Cost allocation requirements set forth in OMB Circular A-87
Date:
Topics:
- Affordable Care Act (ACA)
Type: State Medicaid Director Letter
Affordable Care Act Program Integrity Provisions - Guidance to States - Section 6501 - Termination of Provider Participation under Medicaid if Terminated under Medicare or other Plan
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Medicaid and CHIP Updates
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Links:
Use of Federally Imposed Civil Money Penalty (CMP) Funds by States
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Program Integrity-Expansion of the Recovery Audit Contractor (RAC) Program (Section 6411(a))
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Provider Screening and Enrollment
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
Essential Health Benefits for Non-Grandfathered Individual and Small Group Market Health Plans in 2014
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin
State Flexibility, Resources to Implement Affordable Insurance Exchanges
Date:
Topics:
- Affordable Care Act (ACA)
Type: Informational Bulletin