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:
End of the Medicaid Continuous Enrollment Condition Frequently Asked Questions for State Medicaid and CHIP Agencies
Date:
Topics:
- Eligibility
- COVID-19
- Unwinding
Type: Frequently Asked Questions
End of the COVID-19 Public Health Emergency (PHE) and the COVID-19 National Emergency and Implications for Medicaid and the Children’s Health Insurance Program (CHIP)
Date:
Topics:
- Eligibility
- Program Administration
- COVID-19
- Unwinding
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
Medicaid Continuous Enrollment Condition Changes, Conditions for Receiving the FFCRA Temporary FMAP Increase, Reporting Requirements, and Enforcement Provisions in the Consolidated Appropriations Act, 2023
Date:
Topics:
- COVID-19
- Unwinding
- Enrollment
- Program Administration
Type: State Health Official 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
Medicaid Continuous Enrollment Requirement Provisions in the Consolidated Appropriations Act, 2023
Date:
Topics:
- Program Administration
- COVID-19
- Unwinding
Type: Informational Bulletin
Links:
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:
COVID-19 Public Health Emergency Unwinding Frequently Asked Questions for State Medicaid and CHIP Agencies
Date:
Topics:
- Eligibility
- COVID-19
- Unwinding
Type: Frequently Asked Questions
Ending Coverage in the Optional COVID-19 Group: Preparing States for the End of the Public Health Emergency
Date:
Topics:
- COVID-19
- Unwinding
Type: Informational Bulletin