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.
| 05/28/1998 | Reduce Long-Term Care Spending and Service Delivery | Home and Community Based Care |
| 03/22/2006 | Redistribution of unused prescription medicines paid for by Medicaid by nursing facility residents | Drug Issues |
| 03/27/2003 | Redistribution of unexpended FY 2000 SCHIP allotments | State Children's Health Insurance Program |
| 03/10/1998 | Redeterminiation Timeframe Increase | Balanced Budget Act of 1997 |
| 03/07/2001 | Recent Staffing Changes in HCFA's Division of SCHIP | State Children's Health Insurance Program |
| 09/17/1997 | Recent legislative changes under the Balanced Budget Act of 1997 | Balanced Budget Act of 1997 |
| 03/10/1999 | Raising provider awareness about the Y2K computer problem | Data Systems Issues |
| 10/01/1998 | Quality Improvement System for Managed Care QISMC | Managed Care |
| 04/25/2008 | Quality | Value-Driven Health Care |
| 06/22/2001 | Publication of the Interim Final Rule for the SCHIP as Authorized by BBA, 1997 | State Children's Health Insurance Program, BBA 97 |
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