The Centers for Medicare & Medicaid Services (CMS) is responsible for implementing laws passed by Congress related to Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program. 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.
Federal Policy Guidance
REFINE YOUR SEARCH:
2025 Updates to the Child and Adult Core Health Care Quality Measurement Sets and Mandatory Reporting Guidance
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: State Health Official Letter
Continuation of Certain Medicaid and CHIP Eligibility Processing Data Reporting
Date:
Topics:
- Children's Health Insurance Program
- Data & Systems
- Program Administration
Type: State Health Official Letter
Frequently Asked Questions (FAQs) Improving Maternal Health and Extending Postpartum Coverage in Medicaid and the Children’s Health Insurance Program (CHIP) (SHO #21-007)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Program Administration
Type: Frequently Asked Questions
Initial Core Set Mandatory Reporting Guidance SHO
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: State Health Official Letter
Frequently Asked Questions to Support the Return to Normal Eligibility Operations for Transitional Medical Assistance and Medical Support
Date:
Topics:
- Eligibility
- Outreach & Enrollment
- Program Administration
Type: Frequently Asked Questions
FAQs on Non-Payment of Premiums: Continuous Eligibility September 2023 State Health Official Letter Follow Up
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
Type: Frequently Asked Questions
Section 5112 Requirement for all States to Provide Continuous Eligibility to Children in Medicaid and CHIP under the Consolidated Appropriations Act, 2023
Date:
Topics:
- Eligibility
- Children's Health Insurance Program
- Program Administration
Type: State Health Official Letter
Mandatory Medicaid and Children’s Health Insurance Program Coverage of Adult Vaccinations under the Inflation Reduction Act
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Financing & Reimbursement
- Managed Care
- Reimbursement
Type: State Health Official Letter
Continuous Enrollment Condition Changes, Conditions for Receiving the FFCRA Temporary FMAP Increase, Reporting Requirements, and Enforcement Provisions in the Consolidated Appropriations Act, 2023
Date:
Topics:
- Program Administration
Type: State Health Official Letter
Coverage and Payment of Interprofessional Consultation in Medicaid and the Children’s Health Insurance Program (CHIP)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Children's Health Insurance Program
Type: State Health Official Letter