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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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
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
Section 5112 Requirement for all States to Provide Continuous Eligibility to Children in Medicaid and CHIP under the Consolidated Appropriations Act, 2023
Date:
Topics:
- Eligibility
- Children's Health Insurance Program
- Program Administration
- COVID-19
- Unwinding
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
Further Extension of Grace Period Related to the “Four Walls” Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities to February 11, 2025
Date:
Topics:
- Tribal Issues
- COVID-19
- Unwinding
Type: Informational Bulletin
Extension of 1915(c) Home and Community-Based Services Waiver Appendix K Expiration Dates (SMD 23-004)
Date:
Topics:
- Long-Term Services & Support
- Program Administration
- COVID-19
- Unwinding
Type: State Medicaid Director Letter
Proposed Rule: Medicaid Program; Misclassification of Drugs, Program Administration and Program Integrity Updates Under the Medicaid Drug Rebate Program
Date:
Topics:
- Prescription Drugs
- Program Administration
Type: Regulations
End of the COVID-19 Public Health Emergency (PHE) and the COVID-19 National Emergency and Implications for Medicaid and the Children’s Health Insurance Program (CHIP)
Date:
Topics:
- Eligibility
- Program Administration
- COVID-19
- Unwinding
Type: Informational Bulletin
Opportunities to Test Transition-Related Strategies to Support Community Reentry and Improve Care Transitions for Individuals Who Are Incarcerated (SMD 23-003)
Date:
Topics:
- Benefits
- Program Administration
- Eligibility
- COVID-19
Type: State Medicaid Director Letter