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New & Notable

CMS Announces a Hold Harmless Period to Strengthen Medicaid Community Engagement Requirement Systems and Improve Beneficiary Experience

The Centers for Medicare & Medicaid Services (CMS) today announced an optional hold harmless period through and including June 30, 2027, providing states a transition period to further modernize systems, improve processes, and streamline the applicant... read more

PRESS RELEASE: Trump Administration Announces $10 Billion in Second Year of Rural Health Transformation Awards to All 50 States

The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS) today announced $10 billion in awards to all 50 states for the second year of the Rural Health Transformation Program (RHTP), advancing... read more

July 2026 Medicaid & CHIP Enrollment Data Highlights

All states—including the District of Columbia—provide data each month about their Medicaid and Children’s Health Insurance Programs (CHIP) eligibility and enrollment activity.

Roadmap: Overview of Current and Upcoming Compliance Dates

To assist states with their implementation and planning efforts, CMS developed this resource to reflect key provisions with policy or technology requirements for selected final rules and statutes that may require changes to state Medicaid Enterprise... read more

CMS Releases Guidance and Technical Specifications on the Medicaid Direct Care Worker Compensation Reporting Requirement (PDF 433.6 KB)

This guidance summarizes policy clarifications provided in the 2024 final rule and addresses additional questions that states, providers, and other interested parties have raised since the rule was finalized.

RHTP Obligated Funds Report (PDF 1010.96 KB)

The information in this report reflects state submitted information in the Year 1 RHTP Annual Report as of July 31, 2026 (reporting period: December 29, 2025 - July 31, 2026). This document reflects states' obligated funds to state agencies, contractors... read more

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Nondiscrimination Policy Update

There have been recent court decisions staying or enjoining provisions of the 2024 Final Rule implementing Section 1557 of the ACA. Learn more.