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
Type: Frequently Asked Questions
Coverage of Services and Supports to Address Health-Related Social Needs in Medicaid and the Children’s Health Insurance Program
Date:
Topics:
- Benefits
- Health Related Social Needs
- Financing & Reimbursement
- Children's Health Insurance Program
Type: Informational Bulletin
2024 SSI, Spousal Impoverishment, and Medicare Savings Program Resource Standards
Date:
Topics:
- Eligibility
Type: Informational Bulletin
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
Medicaid and CHIP Managed Care Monitoring and Oversight Tools #3
Date:
Topics:
- Managed Care
- Program Integrity
- Children's Health Insurance Program
Type: Informational Bulletin
FAQs on Non-Payment of Premiums: Continuous Eligibility September 2023 State Health Official Letter Follow Up
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
Type: Frequently Asked Questions
Clarification of Medicaid and Children’s Health Insurance Program (CHIP) Grants Closeout Process
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin
Links:
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
Type: State Health Official Letter
Assurance of Transportation: A Medicaid Transportation Coverage Guide (SMD 23-006)
Date:
Topics:
- Benefits
- Reimbursement
Type: State Medicaid Director Letter