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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State Medicaid Director Letter: Health Homes for Children with Medically Complex Conditions (SMD 22-004)
Date:
Topics:
- Benefits
- Program Administration
- Quality of Care
Type: State Medicaid Director Letter
Home and Community-Based Services Quality Measure Set (SMD 22-003)
Date:
Topics:
- Long-Term Services & Support
- Quality of Care
Type: State Medicaid Director Letter
Medicaid and CHIP Managed Care Monitoring and Oversight Tools #2
Date:
Topics:
- Children's Health Insurance Program
- Managed Care
- Program Integrity
- Quality of Care
- Delivery System
Type: Informational Bulletin
Medicaid and CHIP Coverage of Stand-alone Vaccine Counseling
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- COVID-19
Type: State Health Official Letter
Medicaid Program: Reassignment of Medicaid Provider Claims Final Rule (CMS-2444-F)
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Program Administration
- Program Integrity
- Quality of Care
Type: Regulations
Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid, the Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Upon Conclusion of the COVID-19 Public Health Emergency
Date:
Topics:
- Program Administration
- Benefits
- Children's Health Insurance Program
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Basic Health Program
- COVID-19
- Unwinding
Type: State Health Official Letter
2022 Federal Poverty Level Standards
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
2022 Updates to the Health Home Core Health Care Quality Measurement Sets
Date:
Topics:
- Affordable Care Act (ACA)
- Quality of Care
Type: Informational Bulletin
2022 Updates to the Child and Adult Core Health Care Quality Measurement Sets
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Improving Maternal Health and Extending Postpartum Coverage in Medicaid and the Children’s Health Insurance Program (CHIP)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Program Administration
- COVID-19
Type: State Health Official Letter