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:
Extension of 1915(c) Home and Community-Based Services Waiver Appendix K Expiration Dates (SMD 23-004)
Date:
Topics:
- Long-Term Services & Support
- Program Administration
- COVID-19
- Unwinding
Type: State Medicaid Director Letter
FMAP Reduction for Failure to Meet Reporting Requirements under Section 1902(tt)(1) of the Social Security Act FAQs for State Medicaid and CHIP Agencies
Date:
Topics:
- Eligibility
- COVID-19
- Unwinding
Type: Frequently Asked Questions
Mandatory Medicaid and Children’s Health Insurance Program Coverage of Adult Vaccinations under the Inflation Reduction Act
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Financing & Reimbursement
- Managed Care
- Reimbursement
- COVID-19
Type: State Health Official Letter
Letter to U.S. Governors from HHS Secretary Xavier Becerra on Medicaid Redeterminations
Date:
Topics:
- Eligibility
- COVID-19
- Unwinding
Type: State Health Official Letter
Medicaid Enterprise Systems Compliance and Reapproval Process for State Systems with Operational Costs Claimed at the 75 Percent Federal Match Rate
Date:
Topics:
- Data & Systems
- COVID-19
- Unwinding
Type: Informational Bulletin
Proposed Rule: Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program
Date:
Topics:
- Prescription Drugs
- Program Administration
Type: Regulations
Information on School-Based Services in Medicaid: Policy Flexibilities and Guide on Coverage, Billing, Reimbursement, Documentation and School-Based Administrative Claiming
Date:
Topics:
- Benefits
- Children's Health Insurance Program
Type: Informational Bulletin
Medicaid Continuous Enrollment Condition Unwinding Marketplace Frequently Asked Questions (FAQ)
Date:
Topics:
- Eligibility
- COVID-19
- Unwinding
Type: Frequently Asked Questions
Links:
End of the Medicaid Continuous Enrollment Condition Frequently Asked Questions for State Medicaid and CHIP Agencies
Date:
Topics:
- Eligibility
- COVID-19
- Unwinding
Type: Frequently Asked Questions
Updated 2023 SSI and Spousal Impoverishment Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin