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:
Section 5112 Requirement for all States to Provide Continuous Eligibility to Children in Medicaid and CHIP under the Consolidated Appropriations Act, 2023: Updated SHO and FAQs
Date:
Topics:
- Access to Care
- Children's Health Insurance Program
- Coverage
- Eligibility
- Program Administration
- COVID-19
- Unwinding
Type: State Health Official 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
Provision of Medicaid and CHIP Services to Incarcerated Youth - FAQs
Date:
Topics:
- Eligibility
- Benefits
- Program Administration
Type: State Health Official Letter
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
Provision of Medicaid and CHIP Services to Incarcerated Youth
Date:
Topics:
- Eligibility
- Benefits
- Program Administration
Type: State Health Official Letter
Consolidated Appropriations Act, 2023 Amendments to Provider Directory Requirements
Date:
Topics:
- Data & Systems
- Program Administration
Type: State Health Official Letter
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
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
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
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