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
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
Guidelines for Achieving Compliance with Medicaid and CHIP Eligibility Renewal Timeliness Requirements Following the Medicaid and CHIP Unwinding Period
Date:
Topics:
- Access to Care
- Children's Health Insurance Program
- Eligibility
- Outreach & Enrollment
- Program Administration
- Renewals
- COVID-19
- Unwinding
Type: Informational Bulletin
Medicaid Family Planning Services and Supplies: Requirements and Best Practices
Date:
Topics:
- Program Administration
- Access to Care
- Cost Sharing
- Prescription Drugs
Type: Informational Bulletin
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
Frequently Asked Questions to Support the Return to Normal Eligibility Operations for Transitional Medical Assistance and Medical Support
Date:
Topics:
- Eligibility
- Outreach & Enrollment
- Program Administration
- COVID-19
- Unwinding
Type: Frequently Asked Questions
Guidance on Adding Sexual Orientation and Gender Identity Questions to State Medicaid and CHIP Applications for Health Coverage
Date:
Topics:
- Program Administration
- Data & Systems
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin