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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Extension of Grace Period Related to the “Four Walls” Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities
Date:
Topics:
- Tribal Issues
Type: Informational Bulletin
Links:
Additional Guidance on State Directed Payments in Medicaid Managed Care
Date:
Topics:
- Managed Care
- Program Administration
- Delivery System
- Financing & Reimbursement
Type: State Medicaid Director Letter
Links:
Opportunities in Medicaid and CHIP to Address Social Determinants of Health (SDOH)
Date:
Topics:
- Benefits
- Long-term Services & Support
- Value-based Care
Type: State Health Official Letter
Links:
Mandatory Medicaid State Plan Coverage of Medication-Assisted Treatment
Date:
Topics:
- Benefits
- Prescription Drugs
Type: State Health Official Letter
Links:
Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-term Services & Support
Type: State Health Official Letter
Links:
Establishing Minimum Standards in Medicaid State Drug Utilization Review (DUR) and Supporting Value-Based Purchasing (VBP) for Drugs Covered in Medicaid, Revising Medicaid Drug Rebate and Third Party Liability (TPL) Requirements (CMS 2482-F) Final Rule
Date:
Topics:
- Prescription Drugs
- Eligibility
Type: Regulations
Medicaid and Children’s Health Insurance Program (CHIP) Renewal Requirements
Date:
Topics:
- Children's Health Insurance Program
- Outreach & Enrollment
- Eligibility
- Program Administration
- Program Integrity
Type: Informational Bulletin
Links:
2021 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Links:
- 2021 SSI and Spousal Impoverishment Standards (PDF, 238.92 KB)
2021 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Links:
2020 Medicaid Managed Care Final Rule
Date:
Topics:
- Children's Health Insurance Program
- Delivery System
- Financing & Reimbursement
- Managed Care
- Program Administration
Type: Regulations
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