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:
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:
Additional Guidance on Section 9815 of the American Rescue Plan Act of 2021 (SMD 22-006)
Date:
Topics:
- Program Administration
- Financing & Reimbursement
Type: State Medicaid Director Letter
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:
Updates to the Child and Adult Core Health Care Quality Measurement Set
Date:
Topics:
- Children's Health Insurance Program
- CHIPRA
- Program Administration
- Quality of Care
Type: Informational Bulletin
Guidance on Nursing Facility State Plan Payment and Upper Payment Limit Approaches in Medicaid Relying on the Medicare Patient-Driven Payment Model (SMD 22-005)
Date:
Topics:
- Financing & Reimbursement
- COVID-19
Type: State Medicaid Director Letter
Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes (CMS-2421-P)
Date:
Topics:
- Children's Health Insurance Program
- Eligibility
- Medicaid-Medicare Issues
- Program Administration
- Basic Health Program
Type: Regulations
Medicaid nursing facility payment approaches to advance health equity and improve health outcomes
Date:
Topics:
- Financing & Reimbursement
- Long-Term Services & Support
- Reimbursement
- COVID-19
Type: Informational Bulletin
Links:
Information on School-Based Services in Medicaid: Funding, Documentation and Expanding Services
Date:
Topics:
- Financing & Reimbursement
- Benefits
Type: Informational Bulletin
Links:
Leveraging Medicaid, CHIP and Other Federal Programs in the Delivery of Behavioral Health Services for Children and Youth
Date:
Topics:
- Benefits
- Children's Health Insurance Program
- Financing & Reimbursement
- Long-Term Services & Support
- Managed Care
- COVID-19
Type: Informational Bulletin