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:
Medicaid and Children's Health Insurance Programs: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-2334-F)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
Type: Regulations
Medicaid Information Technology Architecture Guidance - Draft Eligibility and Enrollment Supplement, Version 3.0
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Eligibility
Type: Informational Bulletin
Release of Eligibility Final Rule and CHIPRA Outreach Grants
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- CHIPRA
- Eligibility
Type: Informational Bulletin
Guidance on State Alternative Applications for Health Coverage
Date:
Topics:
- Eligibility
Type: State Health Official Letter
Guidance on State Alternative Applications for Health Coverage
Date:
Topics:
- Eligibility
Type: Informational Bulletin
SHO Letter: Facilitating Medicaid and CHIP Enrollment and Renewal in 2014
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
Type: State Health Official Letter
Coordination between Medicaid and Ryan White HIV/AIDS Programs
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: Informational Bulletin
Model Eligibility Application and Guidance on State Alternative Applications
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Administration
Type: Informational Bulletin
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: CHIP coverage for children who lose Medicaid eligibility due to the elimination of income disregards as a result of the conversion to MAGI.
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
Type: Frequently Asked Questions
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: Enhanced Funding for Medicaid Eligibility Systems Operation and Maintenance
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Delivery System
- Eligibility
- Financing & Reimbursement
Type: Frequently Asked Questions