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:
Strengthening Program Integrity in Medicaid Personal Care Services
Date:
Topics:
- Eligibility
- Program Integrity
Type: Informational Bulletin
Medicaid Program Covered Outpatient Drug Interim Final Rule (CMS 2345-IFC)
Date:
Topics:
- Financing & Reimbursement
- Prescription Drugs
- Affordable Care Act (ACA)
Type: Regulations
Medicaid Drug Rebate Program National Rebate Agreement
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Regulations
Final FY 2014 and Preliminary FY 2016 Disproportionate Share Hospital Allotments (CMS-2401-N)
Date:
Topics:
- Financing & Reimbursement
Type: Regulations
Links:
Mechanized Claims Processing and Information Retrieval Systems - Modularity
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Proposed Rule: Medicaid Disproportionate Share Hospital (DSH) Payments: Treatment of Third Party Payers in Calculating Uncompensated Costs: CMS 2399-P
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming)
Date:
Topics:
- Benefits
- Cost Sharing
- Medicaid-Medicare Issues
- Financing & Reimbursement
- Eligibility
Type: Informational Bulletin
Covered Outpatient Drug Final Rule with Comment (CMS-2345-FC)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Frequently Asked Questions
Mechanized Claims Processing and Information Retrieval Systems -APD Requirements
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Financing & Reimbursement
Type: State Medicaid Director Letter
Federal public notice and public process requirements for changes to Medicaid payment rates
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Data & Systems
- Financing & Reimbursement
Type: Informational Bulletin