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:
Healthy Adult Opportunity State Guidance (SMD 25-001)
Date:
Topics:
- Delivery System
- Program Administration
- Section 1115 Demonstrations
Type: State Medicaid Director Letter
2026 Updates to the Child and Adult Core Health Care Quality Measurement Sets and Mandatory Reporting Guidance
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: State Health Official Letter
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
2025 Updates to the Child and Adult Core Health Care Quality Measurement Sets and Mandatory Reporting Guidance
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: State Health Official Letter
Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality (CMS-2439-F)
Date:
Topics:
- Children's Health Insurance Program
- Delivery System
- Managed Care
- Program Administration
Type: Regulations
Medicaid Program; Ensuring Access to Medicaid Services (CMS-2442-F)
Date:
Topics:
- Access to Care
- Delivery System
- Program Administration
Type: Regulations
Medicaid Program; Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421-F2)
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
- Basic Health Program
Type: Regulations
Initial Core Set Mandatory Reporting Guidance SHO
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: State Health Official Letter
Basic Health Program; Federal Funding Methodology for Program Year 2024
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Informational Bulletin
Basic Health Program: Federal Funding Methodology for Program Year 2023 Final Rule
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: