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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Medicaid Program; Ensuring Access to Medicaid Services (CMS-2442-F)
Date:
Topics:
- Access to Care
- Delivery System
- Program Administration
Type: Regulations
2024 Home and Community-Based Services (HCBS) Quality Measure Set (QMS)
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
- Program Administration
Type: Informational Bulletin
Home and Community-Based Services (HCBS) Quality Measure Set (QMS) Reporting Requirements for Money Follows the Person (MFP) Demonstration Grant Recipients
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
- Program Administration
Type: Informational Bulletin
Medicaid Program; Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421-F2)
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
- Basic Health Program
Type: Regulations
Change Healthcare Cybersecurity Incident – CMS Response and State Flexibilities
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Conducting Medicaid and CHIP Renewals During the Unwinding Period and Beyond: Essential Reminders
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Renewals
- Program Administration
- COVID-19
- Unwinding
Type: Informational Bulletin
Links:
Illustrative Examples of Processes Not Permitted Under Medicaid and CHIP Renewal Requirements
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Renewals
- COVID-19
- Unwinding
Type: Informational Bulletin
Links:
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 (SMD 24-002)
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
Type: State Medicaid Director Letter
Strategies to Improve Delivery of Tobacco Cessation Services
Date:
Topics:
- Tobacco
- Children's Health Insurance Program
Type: Informational Bulletin
Administrative Claiming for Nurse Advice Lines and for Skilled Professional Medical Personnel for Certain Behavioral Health Professionals (SMD 24-001)
Date:
Topics:
- Program Administration
Type: State Medicaid Director Letter