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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Basic Health Program: Proposed Federal Funding Methodology for Program Year 2023 and Proposed Changes to Basic Health Program Regulations
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations
Medicaid Program: Reassignment of Medicaid Provider Claims Final Rule (CMS-2444-F)
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Program Administration
- Program Integrity
- Quality of Care
Type: Regulations
Medicaid Program: Final and Preliminary Disproportionate Share Hospital Allotments and Final and Preliminary Institutions for Mental Diseases Disproportionate Share Hospital Limits
Date:
Topics:
- Affordable Care Act (ACA)
- Financing & Reimbursement
Type: Regulations
Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid, the Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Basic Health Program
- COVID-19
- Unwinding
Type: State Health Official Letter
New Supplemental Payment Reporting and Medicaid Disproportionate Share Hospital Requirements under the Consolidated Appropriations Act, 2021
Date:
Topics:
- Affordable Care Act
- Financing & Reimbursement
Type: State Medicaid Director Letter
Mandatory Medicaid and CHIP Coverage of COVID-19-Related Treatment under the American Rescue Plan Act of 2021
Date:
Topics:
- Benefits
- Cost Sharing
- Financing & Reimbursement
- Prescribed Drugs
- COVID-19
Type: State Health Official Letter
United States Department of Agriculture (USDA) Demonstration Project to Evaluate Using Medicaid Eligibility Data to Directly Certify Children for Free and Reduced Price School Meals
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
Temporary increases to FMAP under sections 9811, 9814, 9815, and 9821 of the ARP
Date:
Topics:
- Financing & Reimbursement
- Medicaid Expansion
- Tribal/Indian Health Services
- Benefits
- COVID-19
Type: State Health Official Letter
Third Party Liability in Medicaid: State Compliance with Changes Required in Bipartisan Budget Act of 2018 and Medicaid Services Investment and Accountability Act of 2019
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Data & Systems
- Delivery System
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- Outreach & Enrollment
- Program Administration
- Program Integrity
Type: Informational Bulletin
Updated Guidance Related to Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Basic Health Program
- COVID-19
- Unwinding
Type: State Health Official Letter