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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Best Practices for Adhering to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Requirements
Date:
Topics:
- Access to Care
- Benefits
- Children's Health Insurance Program
- Coverage
- Delivery Systems
- Managed Care
- Outreach & Enrollment
- Program Administration
- COVID-19
Type: State Health Official Letter
State Compliance with Medicaid and CHIP Renewal Requirements by December 31, 2026
Date:
Topics:
- Access to Care
- Children's Health Insurance Program
- Compliance
- Outreach & Enrollment
- Program Administration
- Renewals
- COVID-19
- Unwinding
Type: Informational Bulletin
Guidelines for Achieving Compliance with Medicaid and CHIP Eligibility Renewal Timeliness Requirements Following the Medicaid and CHIP Unwinding Period
Date:
Topics:
- Access to Care
- Children's Health Insurance Program
- Eligibility
- Outreach & Enrollment
- Program Administration
- Renewals
- COVID-19
- Unwinding
Type: Informational Bulletin
Basic Health Program; Federal Funding Methodology for Program Year 2025
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Informational Bulletin
Provision of Medicaid and CHIP Services to Incarcerated Youth
Date:
Topics:
- Eligibility
- Benefits
- Program Administration
Type: State Health Official Letter
Ensuring Timely and Accurate Medicaid and CHIP Eligibility Determinations at Application
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Renewals
- Program Administration
- COVID-19
- Unwinding
Type: Informational Bulletin
Extension of Temporary Unwinding Related Flexibilities
Date:
Topics:
- Eligibility
- Renewals
- Program Administration
- COVID-19
- Unwinding
Type: Informational Bulletin
Conducting Medicaid and CHIP Renewals During the Unwinding Period and Beyond: Essential Reminders
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Renewals
- Program Administration
- COVID-19
- Unwinding
Type: Informational Bulletin
Links:
Illustrative Examples of Processes Not Permitted Under Medicaid and CHIP Renewal Requirements
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Renewals
- COVID-19
- Unwinding
Type: Informational Bulletin
Links:
Frequently Asked Questions (FAQs) Improving Maternal Health and Extending Postpartum Coverage in Medicaid and the Children’s Health Insurance Program (CHIP) (SHO #21-007)
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Program Administration
Type: Frequently Asked Questions