Medicaid and CHIP Policy Implementation Roadmap
Understanding State Systems Impact of Recently Released Policy or Technical Guidance
Statute, regulations, and guidance governing requirements of the Medicaid, CHIP, and/or BHP program(s) are constantly evolving. In response, State Medicaid Agencies (SMAs) need to review and make necessary adjustments to their policy, operations, and Medicaid Enterprise Systems (MES) to ensure compliance with new or updated Medicaid policy. As states review and assess new releases from CMS, identifying and understanding the impact these changes will have on state systems is critical to their ability to conduct proactive project planning and ensure program compliance.
To assist states with their implementation and planning efforts, CMS developed the timelines linked below to reflect key provisions with policy or technology requirements for selected final rules and statutes that may require changes to state MES. These timelines are not inclusive of all regulatory provisions, nor are they inclusive of all regulations or statutes that may impact the Medicaid and CHIP programs, but instead focus on ones that might have potential systems impacts. Because each state Medicaid agency is unique, and these actions may impact each state and territory differently, this timeline is only meant as an illustrative reference guide and outlines key provisions in the selected statutes and final rules. States should review the final rules and/or statutes for a comprehensive list of provisions, and the content in each final rule is the official record. States should also review the applicability charts published as reference guides for each final rule for a full summary of all applicability dates for the final rules.