NAMD Comments on CMS’ State Directed Payments Proposed Rule
On July 21, 2026, NAMD formally commented on CMS’ proposed rule on Medicaid managed care state directed payments...
How We Work
Federal Policy
A voice for Medicaid leaders in federal policy
As a state-federal program, federal decisions and actions shape what each state’s Medicaid program looks like and achieves. NAMD’s federal policy work ensures that Medicaid Directors are at the table in critical federal policy debates. We keep our members informed of the pulse of federal activity and elevate the perspectives of the members on the issues of the day, which are informed by our Policy Principles. The resources here articulate NAMD’s views on a wide array of Medicaid policy issues.
Letters and Comments
Read NAMD’s formal letters and comment responses, which share states’ detailed perspectives on key Medicaid policy issues.
NAMD Comments on the 2026 CMS’ Interoperability Standards and Prior Authorization for Drugs Proposed Rule
On June 15, 2026, NAMD formally commented on CMS’ Interoperability Standards and Prior Authorization for Drugs Proposed Rule.
NAMD Comments on the 2028 Medicaid Home and Community-Based Services Quality Measure Set Notice
On May 27, 2026, NAMD formally commented on the CMS 2028 Medicaid Home and Community-Based Services Quality Measure...
NAMD Comments on CMS RFI on Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH)
On March 27, 2026, NAMD submitted comments in response to CMS’ Request for Information (RFI) on Comprehensive Regulations...
NAMD Memo on Health-Care Related Taxes Final Rule
This memo provides a summary of the CMS final rule on Medicaid Program; Preserving Medicaid Funding for Vulnerable...
NAMD Comments on Proposed Policies Impacting Care for Dually Eligible Individuals
On January 26, 2026, NAMD formally commented on CMS' Medicare Contract Year 2027 proposed rule, which included several...
NAMD Memo on CMS Proposed Rules Related to Gender Dysphoria and Medicaid
This memo provides a summary of three recently released rules from CMS.
Federal Policy Briefs
Get quickly up to speed on NAMD’s policy perspectives with these targeted blogs and issue briefs.
Snapshot: NAMD’s Recommendations on CMS’ State Directed Payment Proposed Rule
This resource provides a high-level summary of NAMD’s comments on CMS’ 2026 proposed rule on Medicaid managed care...
Snapshot: NAMD’s Recommendations on CMS’ Prescription Drugs Prior Authorization Interoperability Proposed Rule
This resource provides a high-level summary of NAMD’s comments on the 2026 CMS’ Interoperability Standards and Prior Authorization...
Strengthening Program Integrity: A Snapshot of NAMD’s Recommendations on CMS’ CRUSH Initiative
This resource provides a high-level summary of NAMD’s comments on CMS’ Request for Information (RFI) on Comprehensive Regulations...
Recent Federal and Congressional Actions on Medicaid Program Integrity
This resource provides a high-level overview of oversight actions across Congress and the Administration, including congressional inquiries to...
Strengthening Medicare-Medicaid Integration: A Snapshot of NAMD’s Recommendations on Proposed CMS Duals Policies
This resource provides a high-level summary of NAMD’s comments on CMS’ proposed rule addressing Medicare Advantage and Part...
How Medicaid Provider Taxes Work: An Explainer
This resource explains how Medicaid provider taxes work, why states use them, and the key changes made under...
Why did they do it that way? Home and community-based services
Medicaid: The more you learn
Why did they do it that way? Eligibility policy
Check out NAMD's latest issue brief to learn more about Medicaid eligibility policy.
Why Did They Do It That Way? Understanding Medicaid Policymaking
Medicaid: The More You Learn
Federal Policy Brief: Cross-Agency Collaboration to Address Behavioral Health Needs
Read NAMD's Federal Policy Brief to learn more about how our federal partners can support cross-agency collaboration.
Federal Policy Briefs: The IMD Exclusion
Our sixth Federal Policy Brief highlights the challenges caused by the "institutions for mental diseases" exclusion in Medicaid,...
Federal Policy Briefs: Re-Entry from Incarceration
Our fifth Federal Policy Brief highlights opportunities to improve continuity of care and health outcomes for people who...
Recent Resources
Snapshot: NAMD’s Recommendations on CMS’ State Directed Payment Proposed Rule
This resource provides a high-level summary of NAMD’s comments on CMS’ 2026 proposed rule on Medicaid managed care...
NAMD Comments on CMS’ State Directed Payments Proposed Rule
On July 21, 2026, NAMD formally commented on CMS’ proposed rule on Medicaid managed care state directed payments...
Snapshot: NAMD’s Recommendations on CMS’ Prescription Drugs Prior Authorization Interoperability Proposed Rule
This resource provides a high-level summary of NAMD’s comments on the 2026 CMS’ Interoperability Standards and Prior Authorization...
NAMD Comments on the 2026 CMS’ Interoperability Standards and Prior Authorization for Drugs Proposed Rule
On June 15, 2026, NAMD formally commented on CMS’ Interoperability Standards and Prior Authorization for Drugs Proposed Rule.
NAMD Comments on the 2028 Medicaid Home and Community-Based Services Quality Measure Set Notice
On May 27, 2026, NAMD formally commented on the CMS 2028 Medicaid Home and Community-Based Services Quality Measure...
Strengthening Program Integrity: A Snapshot of NAMD’s Recommendations on CMS’ CRUSH Initiative
This resource provides a high-level summary of NAMD’s comments on CMS’ Request for Information (RFI) on Comprehensive Regulations...
NAMD Comments on CMS RFI on Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH)
On March 27, 2026, NAMD submitted comments in response to CMS’ Request for Information (RFI) on Comprehensive Regulations...
Strengthening Medicare-Medicaid Integration: A Snapshot of NAMD’s Recommendations on Proposed CMS Duals Policies
This resource provides a high-level summary of NAMD’s comments on CMS’ proposed rule addressing Medicare Advantage and Part...
NAMD Comments on Proposed Policies Impacting Care for Dually Eligible Individuals
On January 26, 2026, NAMD formally commented on CMS' Medicare Contract Year 2027 proposed rule, which included several...
How Medicaid Provider Taxes Work: An Explainer
This resource explains how Medicaid provider taxes work, why states use them, and the key changes made under...