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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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
State Guidance for Implementation of Medicaid Drug Utilization Review (DUR) provisions included in Section 1004 of the SUPPORT Act
Date:
Topics:
- Benefits
Type: Informational Bulletin
Heightened Scrutiny Review of Newly Constructed Presumptively Institutional Settings
Date:
Topics:
- Affordable Care Act (ACA)
- Long-Term Services & Support
Type: Informational Bulletin
Help for Moms and Babies - Medicaid Coverage for services to Pregnant/Post-partum Women Outside of an IMD (Section 1012)
Date:
Topics:
- Benefits
Type: Informational Bulletin
SPA Residential Pediatric Recovery Center – Guidance to States (Section 1007)
Date:
Topics:
- Benefits
Type: Informational Bulletin
Comprehensive Strategy for Monitoring Access in Medicaid
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Temporary Census Income and Medicaid and CHIP Eligibility
Date:
Topics:
- Eligibility
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
Oversight of State Medicaid Claiming and Program Integrity Expectations
Date:
Topics:
- Financing & Reimbursement
- Program Integrity
- Eligibility
Type: Informational Bulletin
Updated 2019 Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin