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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2020 Medicaid Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Access to Mental Health and Substance Use Disorder Services for Children and Pregnant Women in the Children’s Health Insurance Program
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Program Administration
Type: State Health Official Letter
Basic Health Program Funding Methodology Proposed Payment Notice for Program Year 2021
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
New Reporting Measures for Substance Use Disorder (SUD)-focused Health Homes
Date:
Topics:
- Affordable Care Act (ACA)
- Program Administration
Type: Informational Bulletin
CIB: 2020 Updates to the Adult and Child Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Basic Health Program Funding Methodology Final Notice for Program Years 2019 and 2020
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
New State Flexibilities and Requirements regarding Alternative Benefit Plans (ABP) and Essential Health Benefits (EHB)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
Type: Informational Bulletin
Joint CMCS and SAMHSA Informational Bulletin: Information to States and School Systems on Addressing Mental Health and Substance Use Issues in Schools
Date:
Topics:
- Benefits
- Eligibility
- Program Administration
Type: Informational Bulletin
Medicaid Opportunities for Enhanced Match for Certain PDMP Expenditures FAQs
Date:
Topics:
- Data & Systems
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions
Guidance for States on the Availability of an Extension of the Enhanced Federal Medical Assistance Percentage (FMAP) Period for Certain Medicaid Health Homes for Individuals with Substance Use Disorders (SUD)
Date:
Topics:
- Affordable Care Act (ACA)
- Program Administration
Type: Informational Bulletin