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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Basic Health Program; Revised Federal Funding Methodologies for Program Years 2020, 2021 and Operational QAs
Date:
Topics:
- Benefits
- Program Administration
- Basic Health Program
Type: Informational Bulletin
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
Guidance on Coordinating Care Provided by Out-of-State Providers for Children with Medically Complex Conditions
Date:
Topics:
- Benefits
- Program Administration
Type: Informational Bulletin
Medicaid Eligibility for COFA Migrants
Date:
Topics:
- Eligibility
- Benefits
Type: State Health Official Letter
Medicaid and CHIP Coverage and Reimbursement of COVID-19 Testing Activities
Date:
Topics:
- Benefits
- COVID-19
Type: State Health Official Letter
Temporary increases to FMAP under sections 9811, 9814, 9815, and 9821 of the ARP
Date:
Topics:
- Financing & Reimbursement
- Medicaid Expansion
- Tribal/Indian Health Services
- Benefits
- COVID-19
Type: State Health Official Letter
Third Party Liability in Medicaid: State Compliance with Changes Required in Bipartisan Budget Act of 2018 and Medicaid Services Investment and Accountability Act of 2019
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Cost Sharing
- Data & Systems
- Delivery System
- Eligibility
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- Outreach & Enrollment
- Program Administration
- Program Integrity
Type: Informational Bulletin
Updated Guidance Related to Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations 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
Medicaid Coverage of Certain Medical Transportation under the Consolidated Appropriations Act, 2021 (Public Law 116-260)
Date:
Topics:
- Benefits
Type: Informational Bulletin
Basic Health Program Funding Methodology Final Payment Notice for Program Year 2022
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Benefits
- Financing & Reimbursement
- Program Administration
- Eligibility
- Basic Health Program
Type: Regulations