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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Federal Funding for Services "Received Through" an IHS/Tribal Facility and Furnished to Medicaid-Eligible American Indians and Alaska Natives (SHO #16-002)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Tribal Issues
Type: Frequently Asked Questions
State Flexibility to Facilitate Timely Access to Drug Therapy by Expanding the Scope of Pharmacy Practice using Collaborative Practice Agreements, Standing Orders or Other Predetermined Protocols
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type: Informational Bulletin
Health Services Initiative
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Quality of Care
Type: Frequently Asked Questions
Links:
Community First Choice State Plan Option
Date:
Topics:
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
Type: State Medicaid Director Letter
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