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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Serious Mental Illness (SMI) and Serious Emotional Disturbance (SED) Demonstration Opportunity Technical Assistance Questions and Answers
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Managed Care
Type: Frequently Asked Questions
Medicaid Opportunities for Enhanced Match for Certain PDMP Expenditures FAQs
Date:
Topics:
- Data & Systems
- Financing & Reimbursement
- Program Administration
Type: Frequently Asked Questions
Medicaid Prescription Spread Pricing
Date:
Topics:
- Financing & Reimbursement
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Informational Bulletin
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
Reassignment of Medicaid Provider Claims Final Rule
Date:
Topics:
- Affordable Care Act (ACA)
Type: Regulations
Basic Health Program; Federal Funding Methodology for Program Years 2019 and 2020 (CMS-2407-PN)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Links:
Final Rule and Interim Final Rule with Comment Period: Medicaid Program; Covered Outpatient Drug; Finalization of Line Extension Definition; and Change to the Rebate Calculation for Line Extension Drugs (CMS-2345-F2 and 2345-IFC2)
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
- Prescription Drugs
Type:
Home and Community-Based Settings Regulation: Heightened Scrutiny
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: State Medicaid Director Letter
Transformed-Medicaid Statistical Information System (T-MSIS) State Compliance
Date:
Topics:
- Data & Systems
- Managed Care
- Program Administration
- Program Integrity
Type: Informational Bulletin
Final and Preliminary Allotments for Disproportionate Share Hospitals and Texas PETI Compliance Action
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations