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:
FAQ: Medicaid and CHIP Managed Care Final Rule (CMS-2390-F)
Date:
Topics:
- Delivery System
- Managed Care
Type: Frequently Asked Questions
The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Addendum to 2016 Medicaid Managed Care Rate Development Guide
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Quality of Care
Type: Informational Bulletin
Medicaid Benefits Available for the Prevention, Detection and Response to the Zika Virus
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Final Rule: Medicaid and CHIP Programs; Medicaid Managed Care, CHIP Delivered in Managed Care, and Revisions related to Third Party Liability CMS-2390-F
Date:
Topics:
- Children's Health Insurance Program
- Quality of Care
- Delivery System
- Managed Care
Type: Regulations
Clarifying "Free Choice of Provider" Requirement in Conjunction with State Authority to Take Action against Medicaid Providers
Date:
Topics:
- Program Administration
Type: State Medicaid Director Letter
Mechanized Claims Processing and Information Retrieval Systems-Enhanced Funding
Date:
Topics:
- Cost Sharing
- Data & Systems
- Delivery System
- Financing & Reimbursement
Type: State Medicaid Director Letter
Final Rule: Application of Mental Health and Substance Abuse Disorder Parity Requirements to Medicaid Managed Care, CHIP, and Benchmark Coverage (CMS-2333-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Program Administration
Type: Regulations
Final Notice: Basic Health Program Federal Funding Methodology for Program Year 2017 and 2018 (CMS-2396-FN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
2016 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin