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:
Obergefell v. Hodges and Eligibility for Medicaid/CHIP
Date:
Topics:
- Eligibility
- Program Administration
Type: State Health Official Letter
Payment Error Rate Measurement (PERM) eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and extension of an interim approach for assessing payment error for eligibility
Date:
Topics:
- Affordable Care Act (ACA)
- Program Integrity
- Eligibility
Type: State Health Official Letter
Policy Options for Using SNAP to Determine Medicaid Eligibility and an Update on Targeted Enrollment Strategies
Date:
Topics:
- Eligibility
Type: State Health Official Letter
Minimum Essential Coverage
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
- Program Administration
Type: State Health Official Letter
Links:
Health Care-Related Taxes
Date:
Topics:
- Financing & Reimbursement
Type: State Health Official Letter
Links:
New Flexibility: Using Account Transfer Flat Files to Enroll Individuals in Medicaid and CHIP
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Outreach & Enrollment
Type: State Health Official Letter
Links:
Quality Considerations for Medicaid and CHIP Programs
Date:
Topics:
- Quality of Care
Type: State Health Official Letter
Implications of United States v Windsor for Medicaid and CHIP
Date:
Topics:
- Eligibility
- Program Administration
Type: State Health Official Letter
Payment Error Rate Measurement (PERM) eligibility reviews, Medicaid Eligibility Quality Control (MEQC) Program, and development of an interim approach for assessing payment error for eligibility
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Integrity
Type: State Health Official Letter
Guidance on State Alternative Applications for Health Coverage
Date:
Topics:
- Eligibility
Type: State Health Official Letter