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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State Medicaid Director Letter: Permanent Extension of Mandatory Medicaid State Plan Coverage of MAT/MOUD
Date:
Topics:
- Benefits
- Coverage
- Mental Health
- Program Administration
- Substance Use Disorders
Type: State Medicaid Director Letter
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:
Accessing Enhanced Federal Medicaid Matching Rates for State Information Technology Expenditures to Improve Access to Mental Health and Substance Use Disorder Treatment and Care Coordination
Date:
Topics:
- Financing & Reimbursement
- Mental Health
- Program Administration
- Substance Use Disorders
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools, including States’ Responsibility to Comply with Medicaid Managed Care and Separate CHIP Mental Health and Substance Use Disorder Parity Requirements
Date:
Topics:
- Managed Care
- Children's Health Insurance Program
- Mental Health
- Substance Use Disorders
Type: Informational Bulletin
Frequently Asked Questions on Medicaid and CHIP Coverage of Peer Support Services
Date:
Topics:
- Children's Health Insurance Program
- Mental Health
- Substance Use Disorders
Type: Frequently Asked Questions
Informational Bulletin on Opportunities for Improving Access to Mental Health and Substance Use Disorder Services for Medicaid and CHIP Enrollees Experiencing Homelessness
Date:
Topics:
- Access to Care
- Health Related Social Needs
- Homelessness
- Mental Health
- Outreach & Enrollment
- Substance Use Disorders
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 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