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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Medicaid Integrity Program Established
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter
Home and Community-Based Services Expansion
Date:
Topics:
- Long-Term Services & Support
Type: State Medicaid Director Letter
Optional Self-Direction Personal Assistance Services (PAS) Program
Date:
Topics:
- Long-Term Services & Support
Type: State Medicaid Director Letter
Tamper-Resistant Prescription Pads
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
Cost Sharing for Non-Emergency Care in Hospital; Grants for Alternate Non-Emergency Service Providers: DRA and Tax Relief and Health Care Act (TRHC)
Date:
Topics:
- Cost Sharing
Type: State Medicaid Director Letter
Peer Support Services for Adults with Mental Illness and/or Substance Use Disorder
Date:
Topics:
- Long-Term Services & Support
Type: State Medicaid Director Letter
Reporting Specifications for Medicaid Statistical Information System (MSIS)
Date:
Topics:
- Data & Systems
Type: State Medicaid Director Letter
Medicaid Drug Rebate Program Final Rule and Average Manufacturer Price (AMP)
Date:
Topics:
- Prescription Drugs
Type: State Medicaid Director Letter
Value-Driven Health Care (VHC) Effort and Medicaid Quality Improvement Program (MQIP) Goal
Date:
Topics:
- Medicaid-Medicare Issues
Type: State Medicaid Director Letter
Employee Education for False Claims Recovery Final Guidance
Date:
Topics:
- Program Integrity
Type: State Medicaid Director Letter