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:
Ensuring Eligible Children Maintain Medicaid and Children’s Health Insurance Program Coverage
Date:
Topics:
- Eligibility
- Program Administration
- Children's Health Insurance Program
- COVID-19
- Unwinding
Type: Informational Bulletin
Links:
Guidance to State Medicaid Agencies on Dually Eligible Beneficiaries Receiving Medicare Part B Marriage and Family Therapist Services, Mental Health Counselor Services, and Intensive Outpatient Services Effective January 1, 2024
Date:
Topics:
- Medicaid-Medicare Issues
- Program Administration
Type: Informational Bulletin
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
Initial Core Set Mandatory Reporting Guidance SHO
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: State Health Official Letter
Frequently Asked Questions to Support the Return to Normal Eligibility Operations for Transitional Medical Assistance and Medical Support
Date:
Topics:
- Eligibility
- Outreach & Enrollment
- Program Administration
- COVID-19
- Unwinding
Type: Frequently Asked Questions
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
Guidance on Adding Sexual Orientation and Gender Identity Questions to State Medicaid and CHIP Applications for Health Coverage
Date:
Topics:
- Program Administration
- Data & Systems
- Eligibility
- Outreach & Enrollment
Type: Informational Bulletin
Section 5112 Requirement for all States to Provide Continuous Eligibility to Children in Medicaid and CHIP under the Consolidated Appropriations Act, 2023
Date:
Topics:
- Eligibility
- Children's Health Insurance Program
- Program Administration
- COVID-19
- Unwinding
Type: State Health Official Letter
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