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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Opportunities to Improve HIV Testing, Prevention, and Care Delivery for Medicaid and CHIP Beneficiaries
Date:
Topics:
- Access to Care
- Coverage
- Prescription Drugs
Type: Informational Bulletin
Section 5112 Requirement for all States to Provide Continuous Eligibility to Children in Medicaid and CHIP under the Consolidated Appropriations Act, 2023: Updated SHO and FAQs
Date:
Topics:
- Access to Care
- Children's Health Insurance Program
- Coverage
- Eligibility
- Program Administration
- COVID-19
- Unwinding
Type: State Health Official Letter
Ensuring Seamless Coverage Transitions between Medicaid, Separate CHIP, and Other Insurance Affordability Programs and Exercise of Enforcement Discretion to Delay Implementation of Certain Coverage Transition Requirements
Date:
Topics:
- Access to Care
- Children's Health Insurance Program
- Compliance
- Coverage
- Eligibility
- Enrollment
- Program Administration
- Renewals
- Unwinding
- COVID-19
Type: Informational Bulletin
Basic Requirements for Conducting Ex Parte Renewals of Medicaid and CHIP Eligibility
Date:
Topics:
- Access to Care
- Children's Health Insurance Program
- Coverage
- Eligibility
- Program Administration
- Renewals
- COVID-19
- Unwinding
Type: Informational Bulletin
Financial Eligibility Verification Requirements and Flexibilities
Date:
Topics:
- Access to Care
- Eligibility
- Program Administration
- Renewals
- Coverage
- Children's Health Insurance Program
- COVID-19
- Unwinding
Type: Informational Bulletin
Use of Unwinding-Related Strategies to Support Long-Term Improvements to State Medicaid Eligibility and Enrollment Processes
Date:
Topics:
- Eligibility
- Program Administration
- Renewals
- Access to Care
- Coverage
- Children's Health Insurance Program
- COVID-19
- Unwinding
Type: Informational Bulletin
Notice of Technology and Process Upgrades for Account Transfer Functionality for States Served by Marketplaces on the Federal Platform
Date:
Topics:
- Data & Systems
- Eligibility
- Outreach & Enrollment
- Marketplace
- COVID-19
- Unwinding
Type: Informational Bulletin
Final Rule: Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program
Date:
Topics:
- Benefits
- Prescription Drugs
Type: Regulations
Best Practices for Adhering to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Requirements
Date:
Topics:
- Access to Care
- Benefits
- Children's Health Insurance Program
- Coverage
- Delivery Systems
- Managed Care
- Outreach & Enrollment
- Program Administration
- COVID-19
Type: State Health Official Letter
State Compliance with Medicaid and CHIP Renewal Requirements by December 31, 2026
Date:
Topics:
- Access to Care
- Children's Health Insurance Program
- Compliance
- Outreach & Enrollment
- Program Administration
- Renewals
- COVID-19
- Unwinding
Type: Informational Bulletin