The State Medicaid Manual | CMS Chapter 4 -- Services Chapter 5 -- Early and Periodic Screening Chapter 6 -- Payments for Services Chapter 7 -- Quality Control Chapter 8 -- Program Integrity Chapter 9 -- Utilization Control Chapter 11 -- Medicaid Management Information System Chapter 13 -- State Plan Procedures and Preprints Chapter 15 -- Income and Eligibility Verfication System
Medicaid. gov: The Official U. S. Government Site for Medicaid and CHIP . . . Check your Medicaid notice or contact your state Medicaid office for more information Get materials to help people with Medicaid or CHIP renew their health coverage or find other health care options CMCS serves as the focal point for all national programs relating to Medicaid and Children’s Health Insurance Program (CHIP)
Guidance | Medicaid CMS has updated regulations for Medicaid and CHIP Managed Care in 2016, 2017, 2020 and 2024 Additional information on all updated Medicaid and CHIP Managed Care Final Rules is available
Links to State Medicaid Manuals - elderlawcollege. com Updated as of August 28, 2021 Click Here for Alabama Click Here for Alaska Click Here for Arizona Click Here for Arkansas Click Here for California Click Here for Connecticut Click Here for Colorado Click Here for Delaware Click Here for Florida Click Here for Georgia Click Here for Hawaii Click Here for Idaho Click Here for Illinois Click Here for Indiana Click Here for Iowa Click Here for
Getting Started: Medicaid Medicaid is a joint federal and state program that helps cover medical costs for some people with limited income and resources, including eligible low-income adults, children, pregnant women, elderly adults, and people with disabilities How does it work? Medicaid programs vary from state to state
Medicaid NCCI Policy Manual | CMS CMS updates the NCCI Policy Manual for Medicaid Services once a year The NCCI Policy Manual should be used as a general reference tool that explains the rationale for NCCI edits
Community Plan Care Provider Manuals for Medicaid Plans By State The UnitedHealthcare Community Plan care provider administrative manuals contain helpful information on topics such as prior authorization, processing claims and protocol information, as well as UnitedHealthcare contact information and other resources
The Advocate’s Guide to the Medicaid Program – 5th Edition Since 1986, the Advocate’s Guide to the Medicaid Program has been the leading authoritative reference on Medicaid law The Guide provides easy-to-understand statements of what Medicaid law requires and, in supporting notes, gives in-depth treatment for each statement of law
Federal Policy Guidance | Medicaid 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
Eligibility Administration SPA Implementation Guides | Medicaid Mandatory Eligibility Groups Families and Adults Infants and Children under Age 19 Parents and Other Caretaker Relatives Pregnant Women Deemed Newborns Children with Title IV-E Adoption Assistance, Foster Care or Guardianship Care Former Foster Care Children Transitional Medical Assistance Extended Medicaid due to Spousal Support Collections