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
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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
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
Coverage of Youth Formerly in Foster Care in Medicaid (Section 1002(a) of the SUPPORT Act)
Date:
Topics:
- Eligibility
- Outreach & Enrollment
Type: State Health Official Letter
Medicaid and CHIP Coverage of Stand-alone Vaccine Counseling
Date:
Topics:
- Benefits
- Children's Health Insurance Program
Type: State Health Official Letter
Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid, the Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
Type: State Health Official Letter
Medicaid Guidance on Coverage and Reimbursement for Qualifying Community-Based Mobile Crisis Intervention Services
Date:
Topics:
- Benefits
- Program Administration
Type: State Health Official Letter
Improving Maternal Health and Extending Postpartum Coverage in Medicaid and the Children’s Health Insurance Program (CHIP)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Program Administration
Type: State Health Official Letter