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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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
Accessing Enhanced Federal Medicaid Matching Rates for State Information Technology Expenditures to Improve Access to Mental Health and Substance Use Disorder Treatment and Care Coordination
Date:
Topics:
- Financing & Reimbursement
- Mental Health
- Program Administration
- Substance Use Disorders
Type: Informational Bulletin
Medicaid and CHIP Managed Care Monitoring and Oversight Tools, including States’ Responsibility to Comply with Medicaid Managed Care and Separate CHIP Mental Health and Substance Use Disorder Parity Requirements
Date:
Topics:
- Managed Care
- Children's Health Insurance Program
- Mental Health
- Substance Use Disorders
Type: Informational Bulletin
Frequently Asked Questions on Medicaid and CHIP Coverage of Peer Support Services
Date:
Topics:
- Children's Health Insurance Program
- Mental Health
- Substance Use Disorders
Type: Frequently Asked Questions
2025 Updates to the Child and Adult Core Health Care Quality Measurement Sets and Mandatory Reporting Guidance
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: State Health Official Letter
Continuation of Certain Medicaid and CHIP Eligibility Processing Data Reporting
Date:
Topics:
- Children's Health Insurance Program
- Data & Systems
- Program Administration
- COVID-19
- Unwinding
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
Exercise of Enforcement Discretion until Calendar Year 2028 for Existing Health Care-Related Tax Programs with Hold Harmless Arrangements Involving the Redistribution of Medicaid Payments
Date:
Topics:
- Financing & Reimbursement
Type: Informational Bulletin