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
REFINE YOUR SEARCH:
Model Eligibility Application and Guidance on State Alternative Applications
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
- Program Administration
Type: Informational Bulletin
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: CHIP coverage for children who lose Medicaid eligibility due to the elimination of income disregards as a result of the conversion to MAGI.
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
Type: Frequently Asked Questions
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: Enhanced Funding for Medicaid Eligibility Systems Operation and Maintenance
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Delivery System
- Eligibility
- Financing & Reimbursement
Type: Frequently Asked Questions
Medicaid Moving Forward and Essential Health Benefits
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Eligibility
Type: Informational Bulletin
MAGI-Based Eligibility Verification Plans
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes for Medicaid and Exchange Eligibility Appeals and Other Provisions Related to Eligibility and Enrollment for Exchanges, Medicaid and CHIP, and Medicaid Premiums and Cost Sharing
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
Type: Regulations
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: Exchanges, Market Reforms, and Medicaid
Date:
Topics:
- Affordable Care Act (ACA)
- Benefits
- Delivery System
- Eligibility
Type: Frequently Asked Questions
Annual Reassignments for Certain Low Income Subsidy (LIS) Eligible Individuals
Date:
Topics:
- Benefits
- Eligibility
Type: Informational Bulletin
Clarification on State Medicaid Manual Vendor Access to Eligibility
Date:
Topics:
- Eligibility
Type: Informational Bulletin
Medicaid/CHIP Affordable Care Act Frequently Asked Questions: Eligibility Policy
Date:
Topics:
- Affordable Care Act (ACA)
- Eligibility
Type: Frequently Asked Questions