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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Guidance on Nursing Facility State Plan Payment and Upper Payment Limit Approaches in Medicaid Relying on the Medicare Patient-Driven Payment Model (SMD 22-005)
Date:
Topics:
- Financing & Reimbursement
- COVID-19
Type: State Medicaid Director Letter
Medicaid nursing facility payment approaches to advance health equity and improve health outcomes
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Reimbursement
- COVID-19
Type: Informational Bulletin
Links:
Leveraging Medicaid, CHIP and Other Federal Programs in the Delivery of Behavioral Health Services for Children and Youth
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- COVID-19
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
Letter to Governors on Unwinding
Date:
Topics:
- Eligibility
- Access to Care
- COVID-19
- Unwinding
Type: Informational Bulletin
CMS Enforcement Discretion – Medicaid Access Monitoring Review Plans
Date:
Topics:
- Program Administration
- COVID-19
Type: Informational Bulletin
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
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
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
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