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Letters to State Officials


Topics Topics
1115 - Section 1115 Authority 1915b - Section 1915b Authority
AI/AN - American Indian/Alaska Native Issues BBA97 - Medicaid Policies Under the Balanced Budget Act of 1997
CHI - Children's Healthcare Issues CLIA - Medicaid CLIA Releases
DI - Drug Issues DS - Data Systems Issues
ELIG - Eligibility FA - Fraud and Abuse
HIV - Medicaid and HIV Disease LTC - Long Term Care
MC - Managed Care MH - Mental Health
MM - Medicare-Medicaid Issues OLM - ADA/Olmstead
OUT - Outreach REIMB - Reimbursement
SCHIP - State Children's Health Insurance Program TPL - Third Party Liability
TWWIIA - Ticket to Work and Work Incentives Improvement Act of 1999 WF - Medicaid and Welfare Reform


Date Number Subject Topic(s)
Calendar Year 2004
09/09/04 SMDL 04-006 Clarify issues related to multi-state pooling arrangements in the event that other states decide to implement similar "purchasing pools." (PDF 73K) DI
08/17/04 SMDL 04-005 Money Follows the Person (MFP) (PDF 66K) LTC
07/19/04 SHO 04-004 Guidance to States concerning treatment under the Medicaid program of the discounts and $600 credit available to Medicare beneficiaries under the new Medicare-Approved Drug Discount Card (PDF 70K)
Drug Card and Medicaid Spenddown Qs and As (PDF 297K)
Memorandum for the Heads of Executive Departments and Agencies (PDF 44K)
DI, MM
07/13/04 SHO 04-001 Solicitation for proposals from States interested in participating in pilot testing the Payment Error Rate Measurement Program (PDF 476K) REIMB
07/07/04 SHO 04-002 Funds for grants to State Pharmaceutical Assistance Programs (SPAPS) for the purpose of educating SPAP participants about Medicare Part D coverage (PDF 89K) DI
03/15/04 SMDL 04-003 Third-round grant solicitation for the Demonstration to Maintain Independence and Employment (PDF 230K) TWWIIA
02/25/04 SMDL 04-002 Guidance on how States can cover disease management (PDF 148K) MC
01/28/04 SMDL 04-001 Advise States that Section 103 (f) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 extends the Qualifying Individuals (QIs) benefit through September 30, 2004 (PDF 85K) MM
Calendar Year 2003
12/15/03 SMDL 03-010 State data specifications relating to the Medicare-endorsed prescription drug discount card and transitional assistance (TA) program (PDF 164K) MM
11/13/03 SHO 03-002 An alert of the critical need for states to submit and certify its applicable Medicaid and State Children's's Health Program (SCHIP) fourth quarter expenditure reports for federal fiscal year (FY) 2003 by November 30, 2003 (PDF 100K) REIMB
10/07/03 SMDL 03-009 Alerting states of the need for their attention to data-related activities to support the drug card and its related provisions (PDF 150K) DS
09/17/03 SMDL 03-008 Additional examples and clarification on the principle of "Money Follows the Person" (PDF 245K) LTC
09/16/03 SMDL 03-007 Changes to the reporting specifications for the Medicaid Statistical Information System (MSIS). (PDF 344K) DS
07/14/03 SMDL 03-006 The Transition of Individuals from Institutional to Community Settings Through Medicaid Coverage of Medical Equipment (ME) Costs (PDF 90K) LTC, OLM
06/20/03 SHO 03-001 Request for Proposals from States Interested in Participating in the Third Year of the Payment Accuracy Measurement (PAM) Project (PDF 592K) REIMB
06/13/03 SMDL 03-005 (P.L. 108-27) The Jobs and Growth Tax Relief Reconciliation Act of 2003 (TRRA) (PDF 438K)

"Qs & As" provides additional guidance on the TRRA increased FMAP provision (PDF 189K)
ELIG, REIMB
04/08/03 SMDL 03-004 Clarify CMS Policy with Respect to State Recoupment of Medicaid Payments (PDF 87K) MM, REIMB
03/27/03 SMDL 03-003 Redistribution of Unexpended FY 2000 SCHIP Allotments (PDF 174K) SCHIP
03/14/03 SMDL 03-002 Encouraging States to Identify J-coded Medicaid Drugs by their National Drug Codes (PDF 78K) DI, MM
01/24/03 SMDL 03-001 Rescinding SMD 02-020 Letter Related to the Coverage of Emergency Services for Medicaid Managed Care Enrollees. (PDF 64K) BBA97, MC
Calendar Year 2002
12/20/02 SMDL 02-020 Removing Certain Requirements on MCOs, PCCMs and PIHPs, and Prepaid Ambulatory Health Plans (PAHPs) (PDF 93K) BBA97, MC
12/20/02 SMDL 02-019 Legislative Changes to Medicaid Coverage of Medicare Cost-Sharing for Qualifying Individuals (QIs) (PDF 44K) ELIG
11/21/02 SMDL 02-018 Federal Matching Rate Available for Administrative Activities Performed by Skilled Professional Medical Personnel (PDF 111K) REIMB
11/12/02 SHO 02-004 Ensuring Needed Prenatal Care Under SCHIP (PDF 212K) CHI, SCHIP
11/08/02 SMDL 02-017 Fourth Quarter Expenditure Reporting (PDF 103K) SCHIP
11/6/02 SMDL 02-016 Changes Relating to Medicaid Coverage of Medicare Cost-Sharing (PDF 94K) ELIG
10/4/02 SMDL 02-015 HIPAA Model Compliance Plan Submission Deadline (PDF 50K) DS
9/18/02 SMDL 02-014 Supplemental Drug Rebate Agreements (PDF 95K) DI
8/16/02 SMDL 02-013 Medicaid Disproportionate Share Hospital (DSH) Program (PDF 53K) REIMB
8/13/02 SMDL 02-012 Promising State Practices (PDF 185K) LTC
6/5/02 SHO 02-003 Upcoming Study of the Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA) of 2000 (PDF 559K) AI/AN, MM
6/4/02 SMDL 02-011 New Procedures for Requesting Retrospective Medicare Claims (PDF 280K) DS, MM, TPL
5/29/02 SMDL 02-010 Medicaid National Institutional Reimbursement Team (NIRT) (PDF 145K) REIMB
5/9/02 SMDL 02-009 Independence Plus (PDF 747K) 1115, ELIG, FA, LTC, MH, MM, OLM, SCHIP
5/9/02 SMDL 02-008 1915(c) Transitioning Waivers (PDF 44K) LTC, OLM
5/7/02 SMDL 02-006 Medicaid Payment Accuracy Measurement (PAM) Project (PDF 502K) REIMB
5/3/02 SMDL 02-007 Public Input to Comprehensive 1115 Waivers, Home and Community-Based Service Waivers and Managed Care Waivers Process 1115, 1915b, MC
4/4/02 SMDL 02-005 Assistance in On-going Activities to Implement the Health Insurance Portability and Accountability Act's (HIPAA) Administrative Simplification (A/S) Provisions (PDF 389K) OUT
4/1/02 SMDL 02-004 On-site Visits to CLIA Enrolled Facilities (PDF 575K) CLIA
3/7/02 SMDL 02-003 Administrative Simplification Compliance Act MM
2/28/02 SHO 02-002 Native American Breast and Cervical Cancer Treatment Technical Amendment Act of 2001 (PDF 139K) AI/AN, MM
2/20/02 SMDL 02-002 Third Round Grant Solicitation for Demonstration to Maintain Independence and Employment and the Medicaid Infrastructure Grant TWWIIA
1/14/02 SHO 02-001 New Resource Guide on Medicaid Eligibility Policy SCHIP, WF
1/9/02 SMDL 02-001 Medicare Enrollment Database (EDB) (PDF 256K) DS, MM
Calendar Year 2001
12/5/01 SMDL 01-032 Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (PDF 252K) TPL
11/20/01 SMDL 01-031 Upper Payment Limit REIMB
11/1/01 SHO 01-004 Continuing the Progress Guide Letters (PDF 1.6M) SCHIP, WF, OUT, ELIG
10/23/01 SMDL 01-030 Submission/Certification of Medicaid and SCHIP 4th Quarter Expenditures Report for FY2001 SCHIP REIMB
9/19/01 SMDL 01-029 Care Planner LTC
8/28/01 SMDL 01-028 Actuarial Research Corporation Contract REIMB
8/7/01 SMDL 01-027 Improving Access to Mainstream Services for Persons Who are Homeless OUT
8/2/01 SMDL 01-026 Dual Eligible Enrollment in Medicaid Managed Care MM, MC
7/19/01 SMDL 01-025 Further Clarification on Outstationing Issues in Tribes and Urban Indian Health Care Facilities (PDF 129K) AI/AN, OUT
7/17/01 SMDL 01-024 American Indian/Alaska Native Health Policy Issues and Medicaid (Consultation) (PDF 128K) AI/AN
7/11/01 SMDL 01-023 Facility Attestation of Compliance with Restraint and Seclusion Rules (PDF 170K) MH, LTC
7/5/01 SMDL 01-022 Appeals of Medicare Part A/Part B Coverage Determinations (PDF 447K) MM
7/5/01 SMDL 01-021 States Funding Outreach Activities under SCHIP and FY1998 SCHIP Allotments SCHIP, OUT
7/5/01 SHO 01-003 ADA/CMS Agreement regarding ADA's Current Dental Terminology Third Edition (CDT-3) SCHIP, DS
7/5/01 SHO 01-002 Current Procedural Terminology (CPT) License Agreement (PDF 277K) DS
7/3/01 SMDL 01-020 Timely Filing of Claims under Medicaid and SCHIP SCHIP, REIMB
7/3/01 SMDL 01-019 Medicaid Payment Accuracy Measurement Cooperative Agreement (PDF 223K) REIMB
6/22/01 SHO 01-001 Publication of the Interim Final Rule for the SCHIP as Authorized by BBA, 1997 SCHIP, BBA97
3/30/01 SMDL 01-018 Medicaid Drug Rebate Program (Mifeprex or RU-486) REIMB, DI
3/13/01 SMDL 01-017 Upper Payment Level REIMB
3/7/01 Recent Staffing Changes in HCFA's Division of SCHIP SCHIP
2/7/01 SMDL 01-016 Second Grant Solicitation Ticket to Work and Work Incentives Improvement Act (TWWIIA) TWWIIA
1/23/01 New Evaluation by Mathematica Policy Research (MPR): "Implementation of the SCHIP: Momentum is Increasing After a Modest Start" SCHIP
1/19/01 SMDL 01-015 Medicaid Simplification Strategies-QCs FA, OUT
1/19/01 SMDL 01-014 Medicaid Prospective Payment System for FQHCs, RHCs REIMB, 1115
1/19/01 SMDL 01-013 Targeted Case Management REIMB, TPL
1/19/01 SMDL 01-012 Section 1915(b)-Children with Special Health Care Needs (PDF 66K) 1915b, CHI, MC
1/19/01 SMDL 01-011 State Action to Assure that Medicaid Beneficiaries with Asthma, Particularly Children, Receive Appropriate Care (PDF 87K) CHI
1/18/01 SMDL 01-010 Access of Low-income Children to Necessary Dental Services PDF 67K CHI
1/18/01 SMDL 01-009 AIDS Drug Assistance HIV, DI, REIMB
1/18/01 SMDL 01-008 Outstationing-Pregnant Women and Children Applying for Medicaid at Locations Other Than Welfare Offices (PDF 67K) OUT
1/10/01 SMDL 01-007 Olmstead Update Number 5 (New Tools for States) (PDF 107K) OLM
1/10/01 SMDL 01-006 Olmstead Update Number 4 (HCFA Update PDF 104K) OLM
1/8/01 SMDL 01-005 HIV-1 Resistance Testing HIV
1/8/01 SMDL 01-004 SCHIP Regulation (HCFA 2006-F) SCHIP
1/5/01 SMDL 01-003 Tobacco Use and Dependence Guidelines
1/4/01 SMDL 01-002 Breast and Cervical Cancer Prevention and Treatment Act ELIG
1/2/01 SMDL 01-001 New Policy for the Review of State Plan Amendments REIMB
Calendar Year 2000
12/21/00 Additional Information Regarding SCHIP Application and Notice Simplification Project SCHIP, OUT
12/19/00 Medicaid Policy Regarding Establishing Paternity and Obtaining and Pursuing Medical Support and Payments TPL, OUT
12/14/00 Medicare Savings Program MM, OUT
12/14/00 HCFA Contract to Actuarial Research Corporation REIMB
12/4/00 TANF Barriers ELIG
12/1/00 Foster Care Independence Act of 1999 ELIG, CHI
11/24/00 Notice Regarding Medicaid and SCHIP 4th Quarter Expenditure Reports for FY2000 SCHIP, REIMB
11/22/00 Promoting Influenza and Pneumococcal Vaccines to Adult Residents of Nursing Facilities LTC
11/14/00 De-linking TANF and Medicaid
11/14/00 SCHIP Eligibility Guidelines and Individual Development Accounts (IDAS) SCHIP, ELIG
11/9/00 PACE State Plan Amendment (PDF 104K) BBA97, LTC
11/7/00 Federal Upper Limits (FULS) on Certain Medicaid Drugs REIMB, DI
10/30/00 National Coverage Decision-Complications Due to Participation in Clinical Trials MM
10/26/00 New Round of TWWIIA Demonstration Grant Solicitations TWWIIA
10/13/00 Questions and Answers about 4/7/00 SMD Letter- Set #3 Revised WF, ELIG, OUT, DS
9/27/00 Policy Guidance for FQHCs/RHCs REIMB
9/21/00 Policy Guidance Regarding Inquiries into Citizenship, Immigration Status, and Social Security Numbers in State Applications for Medicaid, SCHIP, TANF, and Food Stamp Benefits SCHIP, ELIG, OUT
9/13/00 Data Reporting Process for SCHIP and Medicaid SCHIP, DS
9/12/00 MEQC and Other Monitoring Activities WF, FA, ELIG, OUT
9/11/00 Statement of Intent to Claim Medicare Benefits MM, REIMB
9/8/00 Children's Health Insurance Outreach in Schools SCHIP, OUT
9/8/00 Implementation of the Administrative Simplification Section of HIPAA MM, DS
9/6/00 Requesting a Customized Extract from the Medicare Enrollment Database (EDB) MM, DS
8/31/00 Medical Child Support Working Group's Report to Secretary Shalala and Secretary Hermann, "Twenty-one Million Children's Health: Our Shared Responsibility-State Medicaid Director Version SCHIP, TPL
8/31/00 Policy Guidance on Medicaid for Persons with Limited English Proficiency SCHIP, OUT
8/29/00 New Medicaid Eligibility Groups-Ticket to Work and Work Incentives Improvement Act of 1999 TWWIIA, ELIG
8/15/00 Guidance and Best Practices Relating to the States' Surveillance and Utilization Review (SURS) Functions FA, DS
8/7/00 Guidelines for Addressing Fraud and Abuse in Medicaid Managed Care FA, MC
8/3/00 Sterling Life Offers First Private Fee-For-Service Plan MM
7/31/00 Guidance on Proposed Demonstration Projects under Section 1115 Authority SCHIP, 1115
7/26/00 Upper Payment Limit REIMB
7/25/00 Olmstead Update Number 3 (HCFA Update) OLM
7/25/00 Olmstead Update Number 2 (Questions and Answers) OLM
7/20/00 Report: Certain Children with Special Health Care Needs CHI, 1915b, 1115, MC
7/13/00 CLIA 35 Ways States Ensure that Clinical Tests are Performed at a CLIA Certified Lab for Managed Care Organizations and a Software Update Designed to Reduce the Number of Records Downloaded from HCFA CLIA, DS
7/12/00 Questions and Answers about 4/7/00 SMD Letter-Set #2 WF, ELIG, OUT, DS
7/10/00 Clarification Regarding Definition of "Optional Targeted Low-Income Children" SCHIP, ELIG, BBA97
7/6/00 Immunization Registry Registries as a Component of the Medicaid Management Information System (MMIS) (PDF 215K) DS, CHI
6/28/00 Year 2000 National Eligibility Conference: August 28-31, 2000 SCHIP, ELIG
6/27/00 HCFA's Key Priorities for FY2000-Oversight of Contractors and States
6/26/00 HCFA Grant Announcement: Medicaid/SCHIP Eligibility Pilot SCHIP, ELIG
6/21/00 Change in Procedures for State Medicaid Agency Access to Personally Identifiable Medicare Data MM, DS
6/13/00 SSA Disabled Children's File and State Data Exchange System WF, ELIG, OUT, DS
6/8/00 Questions and Answers about 4/7/00 SMD Letter-Set #1 WF, ELIG, OUT, DS
6/8/00 Change in Medicare's Implementation of the Outpatient Prospective Payment System MM, REIMB
6/8/00 Electronic Reporting System and the Implications of Delayed Implementation of the Medicaid Management Information System (MMIS) (PDF 43K) DS
6/7/00 Demonstration to Maintain Independence and Employment-Ticket to Work and Work Incentives Improvement Act of 1999 TWWIIA
6/2/00 Grant Opportunity for "Building Partnerships for Innovative Outreach and Enrollment of Dual Eligibles" MM, OUT
5/31/00 Nursing Home Transition Grant 2000 OLM
5/31/00 Guidelines for States to Assist in the Development and Modification of Section 1115 Demonstration Proposals that Target Individuals with HIV/AIDS HIV, 1115
5/16/00 GPRA Goal to Increase Enrollment in the Dual Eligible Programs MM, OUT
5/16/00 Medicare/Medicaid Sanction-Reinstatement Report (HCFA Pub. 69) MM, REIMB, FA
5/16/00 States' Obligation to Notify the Department REIMB, FA
5/16/00 Proposal for a Section 1915(b) Primary Care Case Management (PCCM) Waiver Program 1915b, MC
5/8/00 New Grant Demonstration: Innovative Management of Dental Decay for Young Children Enrolled in Medicaid/SCHIP (PDF 114K) SCHIP, CHI
4/28/00 Dear Colleague Letter-Childhood Lead Poisoning CHI
4/28/00 Nursing Home Transition Grant Funding to 8 States over the Past 2 Years
4/18/00 Managed Care Provisions of BBA 1997 Regarding Coverage of Emergency Services by MCOs-Correction BBA97, MC
4/13/00 Two Quality Improvement Activities HCFA & SAMHSA are Undertaking
4/10/00 Electronic Reporting System and the Implications of Delayed Implementation of the Medicaid Management Information System (MMIS)-(PDF 48K) MM, DS
4/7/00 Efforts to Improve Eligible Families' Ability to Enroll in Medicaid WF, DS, ELIG, OUT
4/5/00 Managed Care Provisions of BBA 1997 Regarding Coverage of Emergency Services by MCOs BBA97, MC
3/29/00 Ticket to Work and Work Incentives Improvement Act of 1999 TWWIIA
3/27/00 Thank You Letter for Y2K Accomplishments DS
3/16/00 DEERS Data Match and Operations Guide DS
2/18/00 SCHIP/Medicaid Eligibility for Temporary Census 2000 Hires SCHIP, ELIG
1/14/00 Guidance on Olmstead Decision and Fact Sheet OLM
1/14/00 Interim Final Regulation on Calculating the Medicare Disproportionate Share Hospital (DSH) Payment Adjustments for Hospitals PDF 110K MM, BBA97, REIMB, 1115, MC
1/14/00 Secretary's Letter to Governors on Olmstead Decision OLM
1/13/00 Outreach and Enrollment Plan for the Government Performance and Results Act (GPRA) OUT
1/11/00 Nursing Home Transition Conference OLM, LTC
1/10/00 Your Guide to Choosing Quality Health Care PDF 139K
1/6/00 Claiming Reimbursement under the $500 Million Fund for TANF-Medicaid Outreach WF, DS, OUT, ELIG
Calendar Year 1999
12/29/99 Guidance on Medicaid Patient Days Used in Computing Medicare DSH Payments MM, BBA97, REIMB
12/17/99 Medicaid and SCHIP Y2K Payment Policy SCHIP, DS, REIMB
12/14/99 Foster Care Independence Act of 1999 CHI, ELIG
12/3/99 Clarification of HCFA Policy for States Submitting Claims for Medicare Benefits MM, REIMB
11/4/99 Intent to Issue Policy Guidance on the Identification of Medicaid Patient Days that Medicare FIs Use in Computing Medicare DSH Payments MM, REIMB
10/22/99 Lead Screening CHI
10/18/99 School-Based SCHIP and Medicaid Outreach Strategies SCHIP, OUT
10/15/99 Writing and Designing Print Materials for Beneficiaries: A Guide for State Agencies OUT
10/13/99 Operational Guidance for the Direction Issues on 3/16/99 LTC, DS
10/6/99 Provisions on Access and Cost Sharing for American Indian/Alaska Native Children SCHIP, AI/AN, REIMB, OUT
10/6/99 Guidance for the Preparation of the Annual Report due March 31, 2000 SCHIP
10/6/99 Fact Sheet on Experienced HIV/AIDS Providers HIV
10/1/99 Proposal for a Section 1915(b) Capitated Waiver Program 1915b
9/30/99 HCFA's Plans for Day One Activities PDF 138K DS
9/29/99 Regional Training Sessions "Reaching Out: Building State and Community Partnerships to Enroll Dual Eligibles" MM, OUT
9/28/99 HCFA's Plans for Day One Activities DS
9/27/99 Addressing the Adequacy of Medicaid Managed Care Provider Networks MC
9/23/99 Two Publications: Medicaid Y2K Information Briefs and What You Need to Know about Health Care and Year 2000 DS
7/27/99 Update on the Next Phase of HCFA's Medicaid Year 2000 Millenium Oversight Plan DS
7/23/99 One in a Series of Letter Addressing HCFA's Progress in Preparing for Y2K DS
7/19/99 Revised Form HCFA-416, the Annual Reporting Form for EPSDT Services DS
6/25/99 Clarification Regarding Immunization Services and Vaccine Funding Available for the SCHIP SCHIP, REIMB
6/18/99 Y2K Readiness and Sample Provider Y2K Readiness Checklist DS
6/7/99 Medicaid Mental Health Services MH
6/7/99 1999 Government Performance Results Act (GPRA) Measure OUT, MM
5/26/99 INS Revised Definition of Public Charge SCHIP, OUT, LTC
5/21/99 Reimbursement for School-Based Health Services Under Medicaid REIMB
5/17/99 Grants Initiative to Assist States in Transitioning Individuals Out of Nursing Homes and into the Community LTC
5/7/99 Readiness to Address the Poential Adverse Effects of Y2K on Beneficiaries' Health Care DS
5/6/99 Revised Preprint Application for a Proposal for a Section 1915(b) Capitated Waiver Program 1915b
5/5/99 States' SCHIP Y2K Compliance Activities and Requirements SCHIP, DS
5/4/99 Medicaid Fraud Statutes Website FA
4/21/99 World Institute on Disability's (WID) Study about Personal Assistance Services (PAS) LTC
4/19/99 CLIA 34 The Location of CPT Codes and Directions for a Procedure to Occur 5/13/99 that will Effect Data Downloaded by States Using the Report 91 Procedure CLIA, DS
3/22/99 Supporting Families in Transition: A Guide to Expanding Health Coverage in the Post-Welfare Reform World SCHIP, WF, OUT
3/17/99 Guidance on a Recently Issued Rule regarding States Obligated to Notify when Certain Actions are taken Against Medicaid Program Participants FA
3/10/99 Raising Provider Awareness about the Year 2000 (Y2K) Computer Problem DS
3/5/99 DEERS Data Match DS
2/26/99 QMB Conference on Enrollment of Dual Eligibles MM, OUT
2/16/99 HCFA's New Grant Initiative LTC
2/3/99 Letter to Medicare Providers Regarding the Year 2000 Computer Problem MM, DS
2/2/99 HCFA's Millenium Compliance Strategy as it Relates to SCHIP SCHIP, DS
1/27/99 Inappropriate Cash Payments for Medicaid Covered Services REIMB
1/99 Fact Sheet on SCHIP and Child Support Enforcement SCHIP, ELIG, TPL
Calendar Year 1998
12/14/98 Survey of State HIV Coverage HIV
12/4/98 Guidance on Reporting for Purposes of Program Monitoring and Evaluation, including Submission of Quarterly and Federal Fiscal Year 1998 Annual Reporting SCHIP
12/1/98 State Medicaid Director Letter (Rural Health Clinic Program) BBA97
11/25/98 Cooperation Between Medicaid and Ryan White CARE Act Programs
11/23/98 Additional Guidance on the Medicaid "Screen and Enroll" Requirement in the SCHIP Law SCHIP
10/26/98 Medicaid and Medicare Immunization Resource Guide MM
10/23/98 State Medicaid Director Letter (Clarification on Prohibition of Requirements for Higher Payments by MCOs) BBA97
10/22/98 Facilitating Collaborations for Data Sharing between State Medicaid and Health Agencies DS
10/16/98 State Medicaid Director Letter Eligibility Simplication for the Dual Eligible Population MM
10/2/98 State Medicaid Director Letter (List of SSI Kids) BBA97
9/10/98 Application and Enrollment Simplification and Clarification of Eligibility Requirements SCHIP
9/4/98 Coverage of Medical Equipment Under the Medicaid Program OLM
8/17/98 State Medicaid Director Letter Regarding 100-Hour Rule Regulation WF
8/13/98 State Medicaid Director Letter (Changes to Hospice Benefit) BBA97
8/6/98 Variance of the 10 Percent Cap Under Title XXI SCHIP
8/5/98 State Medicaid Director Letter (Post-Stabilization Services) BBA97
7/31/98 State Medicaid Director Letter (Home Health Surety Bond) BBA97
7/29/98 ADA and Medicaid OLM
6/10/98 Illegal Immigration Reform and Immigrant Responsibility Act of 1996 (PDF 2.7MB) ELIG
6/5/98 State Medicaid Director Letter Regarding Outreach and Enrollment WF
5/28/98 HIV Treatment Guidelines HIV
5/28/98 Home and Community Based Services Under Medicaid OLM
5/11/98 Vaccines for Children (VFC) Program SCHIP
5/6/98 State Medicaid Director Letter (Prudent Layperson Standard) BBA97
4/20/98 State Medicaid Director Letter (FQHC's, RHC's, and 1115 Waivers) BBA97
4/20/98 State Medicaid Director Letter (FQHC/RHC Reimbursement) BBA97
4/7/98 CLIA 33 Contains information about the use of the Internet to provide Medicaid CLIA related information CLIA
3/25/98 State Medicaid Director Letter (Application of BBA Provisions to Waivers) BBA97
3/23/98 State Medicaid Director Letter (PACE) BBA97
3/23/98 State Medicaid Director Letter (Guaranteed Eligibility) BBA97
3/9/98 State Medicaid Director Letter (Working Disabled II) BBA97, TWWIIA
2/26/98 State Medicaid Director Letter (Surety Bonds) BBA97
2/24/98 Tribal Consultation
2/23/98 Public Involvement Process SCHIP
2/20/98 HIV/AIDS Satellite Broadcast HIV
2/20/98 State Medicaid Director Letter (Habilitation Services) BBA97
2/20/98 State Medicaid Director Letter (Marketing Restrictions) BBA97
2/20/98 State Medicaid Director Letter (Antidiscrimination, Anti-Gag Rule, & Adequate Capacity) BBA97
2/20/98 State Medicaid Director Letter (Debarred Individuals) BBA97
2/20/98 State Medicaid Director Letter (Grievance Procedures) BBA97
2/20/98 State Medicaid Director Letter (Emergency Services) BBA97
2/20/98 State Medicaid Director Letter (Provision of Information & Effective Dates) BBA97
2/20/98 State Medicaid Director Letter (Sanctions) BBA97
2/13/98 Substitution of Coverage SCHIP
2/13/98 Cost-Sharing SCHIP
2/3/98 State Medicaid Director Letter PDF 140KB (Qualifying Individuals) BBA97
1/23/98 Outreach and Enrollment SCHIP
1/21/98 State Medicaid Director Letter (Enrollment, Termination, and Default Assignment) BBA97
1/21/98 State Medicaid Director Letter (PCCM Services Without Waiver) BBA97
1/20/98 Hemophilia Settlement HIV
1/20/98 State Medicaid Director Letter (External Quality Review) BBA97
1/20/98 State Medicaid Director Letter (Mental Health Parity) BBA97
1/20/98 State Medicaid Director Letter (Hemophilia Settlement) BBA97
1/20/98 State Medicaid Director Letter (Repeal of SPR) BBA97
1/20/98 State Medicaid Director Letter (Surety Bonds for HHAs) BBA97
1/14/98 Immigrant Children SCHIP
1/14/98 State Medicaid Director Letter (Choice, MCE Definition, Repeal of 75/25, and the New threshold for Federal Approval of Managed Care Contracts) BBA97
Calendar Year 1997
12/30/97 State Medicaid Director Letter (Miscellaneous Managed Care Provisions) BBA97
12/30/97 State Medicaid Director Letter (Marketing Restrictions for Managed Care) BBA97
12/19/97 Children's Health Initiative and Regional Conference Dates SCHIP
12/17/97 State Medicaid Director Letter (Periodic Inspection of Care in an ICF/MR) BBA97
12/17/97 State Medicaid Director Letter (State Option to Use Managed Care) BBA97
12/17/97 State Medicaid Director Letter (Specification of Managed Care Benefits) BBA97
12/17/97 State Medicaid Director Letter (Elimination of Fraud, Waste and Abuse) BBA97
12/15/97 State Medicaid Director Letter (Capped Allocation to States for QIs) BBA97
12/10/97 State Medicaid Director Letter (DSH/IMD) BBA97
12/10/97 State Medicaid Director Letter (Boren) BBA97
12/8/97 Payment Processes and Financial Reporting Forms SCHIP
12/8/97 State Medicaid Director Letter (Immigrant Eligibility) BBA97
12/2/97 Title XXI Plan Approval Process SCHIP
11/24/97 State Medicaid Director Letter (Working Disabled) BBA97, TWWIIA
11/24/97 State Medicaid Director Letter (Emergency Services for Aliens) BBA97
11/24/97 State Medicaid Director Letter (Payment for Qualified Medicare Beneficiaries) BBA97
11/13/97 State Medicaid Director Letter (Eligibility for SSI Children) BBA97
11/13/97 State Medicaid Director Letter Eligibility for SSI Children WF
10/14/97 State Medicaid Director Letter (Expanded Habilitation Services Under Home and Community-Based Services Waiver) BBA97
10/10/97 Addressing SCHIP Medicaid Related Provisions SCHIP
10/9/97 State Medicaid Director Letter (Tax and Donation Information) BBA97
10/6/97 State Medicaid Director Letter (Changes to the 6 Months Guaranteed Eligibility for Individuals Enrolled in Managed Care) BBA97
10/3/97 CLIA 32 Includes instructions to deny payments to all laboratories submitting claims for services covered by Medicaid. Also includes Waived and PPMP Tests (PDF 304K) CLIA
10/1/97 State Medicaid Director Letter (Coverage of Services in Religious Non-Medical Health Care Institutions) BBA97
9/22/97 State Medicaid Director Letter Regarding Implementation of Section 1931 of the Social Security Act WF
9/17/97 State Medicaid Director Letter (Elimination of Obstetrical and Pediatric Payment Rate Requirements) BBA97
9/15/97 State Medicaid Director Letter (To Non-MSIS States) BBA97
9/12/97 Draft Model State Plan Template and Instructions SCHIP
8/27/97 Summarizing Title XXI Program SCHIP
6/27/97 Medicaid Home and Community Based Services (HCBS) OLM
6/19/97 CLIA 31 - Notice to commence to deny payments to all laboratories submitting claims for services beginning January 1, 1998, with a window of 6 months to implement. Also includes new layout effective January 1, 1998 (PDF 512K) CLIA
6/11/97 HIV Viral Load Testing HIV
5/14/97 State Medicaid Director Letter Regarding State Reporting of Expenditures and Budget Projections Relating to $500 Million Enhanced Federal Matching Fund WF
5/2/97 State Medicaid Director Letter Regarding Impact on Medicaid of One Month Gap in Initial SSI Payment WF
5/2/97 State Medicaid Director Letter Regarding Naturalization Process and Medicaid WF
5/1/97 State Medicaid Director Letter Regarding State Submission of Information Related to Section 1915(b) Medicaid Managed Care Waivers in Electronic Format 1915b
4/22/97 State Medicaid Director Letter Regarding Redetermination of Eligibility (Clarification of February 6, 1997 letter) WF
4/21/97 State Medicaid Director Letter Regarding Medicaid Eligibility Quality Control Errors WF
2/6/97 State Medicaid Director Letter Regarding Redetermination of Eligibility WF
2/5/97 State Medicaid Director Letter Regarding Welfare Reform Demonstrations WF
Calendar Year 1996
12/20/96 State Medicaid Director Letter Regarding Quarters of Work WF
10/4/96 State Medicaid Director Letter Regarding State Plan Process WF
6/19/96 Coverage of Protease Inhibitors HIV
Calendar Year 1995
12/7/95 Clarifying Guidelines Concerning Competitive Procurement of Medicaid Managed Care Contracts (PDF 125K) DS, MM
12/4/95 Policy on Sole Source Procurements (PDF 166K) DS, MM
9/10/95 Prevention of Preinatal Transmission HIV
Calendar Year 1994
12/20/94 Allowable Administrative Costs (PDF 280K) DS, MM
12/5/94 Medicaid Coverage of Drugs for HIV Disease HIV

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Last Modified on Thursday, October 21, 2004