As part of the state-federal partnership in administering the Medicaid program, the Centers for Medicaid and CHIP Services (CMCS) issues technical assistance in the form of letters to State Medicaid Directors, Informational Bulletins, Issue Briefs, and Frequently Asked Questions (FAQs) to communicate with states and other stakeholders regarding operational issues related to Medicaid.
Initial Core Set Mandatory Reporting Guidance for the Health Home Core Quality Measure Sets and Federal Fiscal Year 2025 Updates to the Health Home Core Quality Measure Sets
This State Medicaid Directors letter provides guidance on the “Mandatory Medicaid and Children’s Health Insurance Program (CHIP) Core Set Reporting final rule (88 FR 60278)” that establish requirements for reporting of standardized quality measures in Medicaid and the Children’s Health Insurance Program as it relates to Health Home programs. This letter also announces the 2025 Core Sets of measures for both 1945 and 1945A Health Home programs.
Health Homes for Children with Medically Complex Conditions
This State Medicaid Directors letter provides guidance on the implementation of section 1945A of the Social Security Act (“the Act”), enacted as part of the Medicaid Services Investment and Accountability Act of 2019, which authorizes states to cover an optional health home state plan benefit for Medicaid-eligible children with medically complex conditions.
Guidance on Coordinating Care Provided By Out-of-State Providers for Children with Medically Complex Conditions
This Informational Bulletin and accompanying guidance document provides a description of best practices and other implementation considerations related to coordination of care from out-of-state providers for children with medically complex conditions. These best practices and other considerations were informed by public comments received in response to a Request for Information (RFI) issued by CMS in January 2020, in accordance with section 1945A(e)(2) of the Act.
Best Practices for Designing and Implementing an SUD-focused Health Homes State Plan Amendment
This report provides a description of best practices for designing and implementing an SUD-focused health homes state plan amendment (SPA). The issuance of these best practices is required under section 1006(a)(C) of the Support for Patients and Communities Act which states that, “Not later than October 1, 2020, the Secretary shall make publicly available on the internet website of the Centers for Medicare & Medicaid Services best practices for designing and implementing an SUD-focused State plan amendment, based on the experiences of States that have State plan amendments approved under this section that include SUD-eligible individuals.”