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
REFINE YOUR SEARCH:
Coverage of Services and Supports to Address Health-Related Social Needs in Medicaid and CHIP
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Health Related Social Needs
- Section 1115 Demonstrations
Type: Informational Bulletin
Links:
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:
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
Basic Health Program; Federal Funding Methodology for Program Year 2025
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Informational Bulletin
Consolidated Appropriations Act, 2023 Amendments to Provider Directory Requirements
Date:
Topics:
- Data & Systems
- Program Administration
Type: State Health Official Letter
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
Continuation of Certain Medicaid and CHIP Eligibility Processing Data Reporting
Date:
Topics:
- Children's Health Insurance Program
- Data & Systems
- Program Administration
- COVID-19
- Unwinding
Type: State Health Official Letter
Identifying Deceased Medicaid Enrollees
Date:
Topics:
- Program Administration
- Data & Systems
Type: Guidance
Exercise of Enforcement Discretion until Calendar Year 2028 for Existing Health Care-Related Tax Programs with Hold Harmless Arrangements Involving the Redistribution of Medicaid Payments
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Change Healthcare Cybersecurity Incident – CMS Response and State Flexibilities
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin