Medicaid: CMS Materials

Materials from the Centers for Medicare and Medicaid Services:

State Medicaid Manual, Chapter 3 (HCFA 64) (State Medicaid Manual at CMS)

Letters to State Directors

Letters to State Survey Agency Directors

Other CMS Letters

From Shapiro to All Part D. Plan Sponsors regarding 2022 Resource and Cost Sharing Limits for LIS (10/25/2021)
Understanding Medicaid Home and Community Based Services: A Primer (2000)

CMS Transmittals

T3 Certification of Facilities Providing Acute Psychiatric Services to Individuals Under Age 21
T5 Review of ways available for Medicaid to deal with drug addition and related problems
T8 Monetary Cap on and Periodic Services Provided Under the Early Screening, Diagnosis, and Treatment Program
T12 Response to request for futher clarification of requirements of case management with respect to EPSDT
T13 Response to request for clarification cerning provision of durable medical equipment through State’s Crippled Children Services
T14 Response to Montana’s question regarding whether State is allowed to impose limitations on services to EPSDT children
T15 Response to request that HCFA adopt standardized definition of medically necessary sevices
T18 Response to question raised concerning the phrase “conditions discovered by the screening services”
T19 Reiterating current Health Care Financing Administration (HCFA) policy with respect to State requirements for furnishing services under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T20 Notice of policy clearance from our Central Office on the meaning of the word “discovered” in the context of the EPSDT screening services
T21 Response to concerns about implementing the EPSDT services mandated under OBRA 89
T22 Reiterating current Health Care Financing Administration (HCFA) policy with respect to State requirements for furnishing services under the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T24 Response to letter concerning the Medicaid inpatient psychiatric benefit for individuals under 21
T27 Follow-up letter concerning policy relating to Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T28 Memorandum providing guidance to States concerning Medicaid coverage of services provided in schools
T33 Clarification of several issues concerning EPSDT services
T34 Letter to State Medicaid Directors regarding OBRA 89 changes to Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T42 Response to Pennsylvania concerning coverage under Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T44 Clarification of EPSDT Requirements Concerning “Pre-Existing” Conditions and State Plan Limitations
T45 Clarification of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program relating to determination of medical necessity
T47 Medically needy Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
T51 Providing EPSDT services in least costly environment
T53 Response to letter regarding whether removal of EPSDT children from Idaho’s Personal Care Services HCBS waiver remains appropriate
T56 Response to request for clarification of case management services for Kansas Medicaid enrolled children under EPSDT program
T58 Scope of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T63 Maintenance services under Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T82 Response to letter requesting clarification of case management under Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T85 Targeted case management services and the Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T96 Memorandum providing guidance to States concerning Medicaid coverage of services provided in schools
T99 Memorandum providing guidance to States concerning Medicaid coverage of services provided in schools
T109 Clarifying two issues related to delivery of EPSDT services
T129 Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program continuing care providers
T131 Response to letter regarding skilled nusring services for ventilator dependent children
T133 Release of information to schools providing EPSDT services
T134A Medicaid Provider Qualifications for Speech Pathologists and Audiologists in School-Based Programs
T137 Response to request for clarification regarding nutritionists service in context of EPSDT services
T139 Response to request regarding whether nutritionists service met defintion of preventative services
T142 Response to letter requesting comments on methods of verifying children’s Medicaid eligibility in effort to expand Medicaid coverage for habilitation services provided in schools
T162 Whether maintenance services are required under EPSDT
T172 Response to proposal advertized to States regarding maximizing federal share of matching funds by implenting EPSDT in schools
T174 Clarification of the Health Care Financing Administration’s provisional requirements regarding communicative devices and tactile aids
T177 Clarification of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program – OBRA 89 provisions
T180 Medicaid coverage of investigation to determine source of lead
T191 Reply to letter regarding payment for Medicaid services included in an individualized education program (IEP) or individualized family service plan (IFSP)
T197 Reply to letter concerning provision of Medicaid services to children in nursing facilities
T198 Response to request for advice regarding the of federal financial participation (FFP) for assistive devices provided under the EPSDT benefit
T199 Guidance regarding coverage for assistive devices for children with handicaps
T206 Regarding States flexibility in administering Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T208 Response to questions received recently from several States concerning coverage of infant/toddler restraint seats under Medicaid, ‘particularly in light of the ‘89 EPSDT expansion
T218 Clarification to New York regarding Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T221 Regarding reimbursement for school-based health services
T222 Idenitifcation of case management services that do not meet statutory defintion
T225 Concerning mandator functions in administration of Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T226 Concerning home health visits under Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program
T228 Allowable costs and FFP
Transmittal MCD-86-94, January 13, 1995, regarding three types of exempt trusts

Other CMS Guidance

State Guidance

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