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:
FFM Account Transfer Flat Files
Date:
Topics:
- Affordable Care Act (ACA)
- Data & Systems
- Eligibility
- Outreach & Enrollment
Type: Frequently Asked Questions
Medicaid and CHIP Application and Eligibility Data
Date:
Topics:
- Affordable Care Act (ACA)
- Children's Health Insurance Program
- Data & Systems
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
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:
2014 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Implications of United States v Windsor for Medicaid and CHIP
Date:
Topics:
- Eligibility
- Program Administration
Type: State Health Official Letter
NPRM: Basic Health Program (CMS-2380-P)
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Cost Sharing
- Eligibility
- Financing & Reimbursement
- Program Administration
- Basic Health Program
Type: Regulations
Release of Basic Health Program Proposed Rule (CMS-2380-P)
Date:
Topics:
- Benefits
- Eligibility
- Financing & Reimbursement
- Program Administration
- Affordable Care Act (ACA)
- Cost Sharing
- Basic Health Program
Type: Informational Bulletin
Eligibility Reviews Under PERM and MEQC
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Integrity
Type: Informational Bulletin
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
CMS Answers to Frequently Asked Questions:Telephonic Applications, Medicaid and CHIP Eligibility Policy and 75/25 Federal Matching Rate
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Program Administration
- Affordable Care Act (ACA)
Type: Frequently Asked Questions