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; Revised Federal Funding Methodologies for Program Years 2020, 2021 and Operational QAs
Date:
Topics:
- Benefits
- Program Administration
- Basic Health Program
Type: Informational Bulletin
Opportunities to Increase Enrollment in Medicare Savings Programs Informational Bulletin
Date:
Topics:
- Medicaid-Medicare Issues
Type: Informational Bulletin
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
Guidance on Coordinating Care Provided by Out-of-State Providers for Children with Medically Complex Conditions
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Qualified Residential Treatment Program (QRTP) Reimbursement: Family First Prevention Services Act (FFPSA) Requirements
Date:
Topics:
- Reimbursement
Type: Frequently Asked Questions
Medicaid Eligibility for COFA Migrants
Date:
Topics:
- Eligibility
- Benefits
Type: State Health Official Letter
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 Nine Months after the COVID-19 PHE Ends
Date:
Topics:
- Tribal Issues
- COVID-19
Type: Informational Bulletin
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
Medicaid and CHIP Coverage and Reimbursement of COVID-19 Testing Activities
Date:
Topics:
- Benefits
- COVID-19
Type: State Health Official Letter
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