The State Medicaid Directors' letter is used to provide States with guidance and clarification on current information pertaining to Medicaid policy and Medicaid data issues. The intent of these letters is not to establish policy, but to ensure consistency and better serve the States.
| 07/23/1999 | Uninterrupted supplies of pharmaceuticals (Y2K) | Data Systems Issues |
| 10/01/1997 | Two sections of the Social Security Act affected by the Balanced Budget Act of 1997 | Balanced Budget Act of 1997 |
| 04/13/2000 | Two Quality Improvement Activities HCFA and SAMHSA are undertaking | Mental Health |
| 10/18/2005 | Tribal organizations can certify expenditures | American Indian/Alaska Native Issues |
| 05/09/2002 | Transitioning Waivers | Long Term Care, Olmstead |
| 07/14/2003 | Transition of individuals from institutional to community settings | Long-Term Care, ADA/Olmstead |
| 07/27/2006 | Transfer of assets | Deficit Reduction Act of 2005 |
| 06/09/1997 | Tort Claims | Third Party Liability |
| 01/05/2001 | Tobacco Use and Dependence Guidelines | N/A |
| 02/17/2006 | Timing of Enrollment in Part D | Drug Issues |
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