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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CY 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System Final Rule (CMS 1809-FC)
Date:
Topics:
- Tribal Issues
- Benefits
Type:
Further Extension of Grace Period Related to the “Four Walls” Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities to February 11, 2025
Date:
Topics:
- Tribal Issues
- COVID-19
- Unwinding
Type: Informational Bulletin
Further Extension of Grace Period Related to the “Four Walls” Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities to Nine Months after the COVID-19 PHE Ends
Date:
Topics:
- Tribal Issues
- COVID-19
Type: Informational Bulletin
Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Related Provisions in the American Rescue Plan Act of 2021
Date:
Topics:
- Affordable Care Act
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Eligibility
- Long-Term Services & Support
- Managed Care
- Tribal Issues
- Basic Health Program
- COVID-19
Type: Informational Bulletin
Extension of Grace Period Related to the “Four Walls” Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities
Date:
Topics:
- Tribal Issues
- COVID-19
Type: Informational Bulletin
Federal Funding for Services "Received Through" an IHS/Tribal Facility and Furnished to Medicaid-Eligible American Indians and Alaska Natives (SHO #16-002)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Tribal Issues
Type: Frequently Asked Questions
Indian Provisions in the Final Medicaid and Children's Health Insurance Program Managed Care Regulations
Date:
Topics:
- Children's Health Insurance Program
- Tribal Issues
Type: Informational Bulletin
Strategies to Enroll American Indian and Alaska Native Families and Children in Medicaid and CHIP
Date:
Topics:
- Outreach & Enrollment
- Tribal Issues
Type: Informational Bulletin
Links:
Federal Funding for Services "Received Through" an IHS/Tribal Facility and Furnished to Medicaid-Eligible American Indians and Alaska Natives
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Tribal Issues
Type: State Health Official Letter
Tribal organization criteria to be unit of government to certify expenditures as non-Federal share of administration claims
Date:
Topics:
- Tribal Issues
Type: State Medicaid Director Letter