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:
Development and Maintenance of Direct Support Worker Registries: Benefits of Utilization and Enhanced Federal Funding Availability
Date:
Topics:
- Data & Systems
- Long-Term Services & Support
- Benefits
Type: Informational Bulletin
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
Assurance of Transportation: A Medicaid Transportation Coverage Guide (SMD 23-006)
Date:
Topics:
- Benefits
- Reimbursement
Type: State Medicaid Director Letter
Basic Health Program; Federal Funding Methodology for Program Year 2024
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Informational Bulletin
Mandatory Medicaid and Children’s Health Insurance Program Coverage of Adult Vaccinations under the Inflation Reduction Act
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Financing & Reimbursement
- Managed Care
- Reimbursement
- COVID-19
Type: State Health Official Letter
Information on School-Based Services in Medicaid: Policy Flexibilities and Guide on Coverage, Billing, Reimbursement, Documentation and School-Based Administrative Claiming
Date:
Topics:
- Benefits
- Children's Health Insurance Program
Type: Informational Bulletin
Opportunities to Test Transition-Related Strategies to Support Community Reentry and Improve Care Transitions for Individuals Who Are Incarcerated (SMD 23-003)
Date:
Topics:
- Benefits
- Program Administration
- Eligibility
- COVID-19
Type: State Medicaid Director Letter
Coverage and Payment of Interprofessional Consultation in Medicaid and the Children’s Health Insurance Program (CHIP)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Children's Health Insurance Program
- COVID-19
Type: State Health Official Letter
Additional Guidance on Use of In Lieu of Services and Settings in Medicaid Managed Care (SMD 23-001)
Date:
Topics:
- Benefits
- Financing & Reimbursement
- Managed Care
Type: State Medicaid Director Letter
Links:
Basic Health Program: Federal Funding Methodology for Program Year 2023 Final Rule
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: