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 Prescription Spread Pricing
Date:
Topics:
- Financing & Reimbursement
- Affordable Care Act (ACA)
- Prescription Drugs
Type: Informational Bulletin
Additional Extension of the Spousal Impoverishment Rules for Married Applicants and Recipients of Home and Community-Based Services
Date:
Topics:
- Eligibility
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
Transformed-Medicaid Statistical Information System (T-MSIS) State Compliance
Date:
Topics:
- Data & Systems
- Managed Care
- Program Administration
- Program Integrity
Type: Informational Bulletin
Medicaid Strategies for Non-Opioid Chronic Pain Management
Date:
Topics:
- Benefits
- Long-Term Services & Support
- Managed Care
Type: Informational Bulletin
2019 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
Temporary Extension of the Affordable Care Act's Spousal Impoverishment Provision for Married Recipients of Home and Community-Based Services
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Strategies to Support Dually Eligible Individuals Access to DMEPOS
Date:
Topics:
- Eligibility
- Medicaid-Medicare Issues
Type: Informational Bulletin
Nursing Facility Case-Mix Payment Changes
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Informational Bulletin
2019 Adult and Child Core Set Quality Measures
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin