- Basic Requirements for Conducting Ex Parte Renewals of Medicaid and CHIP Eligibility ( PDF, 3.42 MB )
- Extension of Temporary Unwinding Related Flexibilities ( PDF, 373.57 KB )
- 2024 Federal Poverty Level Standards ( PDF, 212.51 KB )
- Washington State Plan Amendment for Enhanced Mobile Crisis Services ( PDF, 634.81 KB )
- NEMT Report to Congress ( PDF, 12.67 MB )
- Strategies to Prevent Procedural Terminations ( PDF, 193.21 KB )
- CMS Issues Report to Congress on SUD Planning Grant Implementation ( PDF, 1002.6 KB )
- 2023-2024 Medicaid Managed Care Rate Development Guide ( PDF, 1.55 MB )
- Important Medicaid Drug Rebate Program Reminders for States ( PDF, 235.11 KB )
- 2023 Federal Poverty Level Standards ( PDF, 206.99 KB )
- Additional Guidance on Section 9815 of the American Rescue Plan Act of 2021 (SMD 22-006) ( PDF, 232.72 KB )
- 2022 Medicaid and CHIP Access Data Brief ( PDF, 3.14 MB )
- MAGI Application Processing Time Snapshot Report: January-March 2022 ( PDF, 388.37 KB )
- Home and Community-Based Services Quality Measure Set ( PDF, 716.87 KB )
- Health Coverage Options for Certain Ukrainian Nationals ( PDF, 231.99 KB )
- Medicaid and CHIP Managed Care Monitoring and Oversight Tools #2 ( PDF, 251.39 KB )
- Stand-alone Vaccine Counseling-specific HCPCS codes ( PDF, 175.87 KB )
- Updated 2022 SSI and Spousal Impoverishment Standards ( PDF, 342.68 KB )
- Medicaid and CHIP Coverage of Stand-alone Vaccine Counseling ( PDF, 412.7 KB )
- 2021 Medicaid MAGI and CHIP Application Processing Time Report ( PDF, 488.59 KB )
- 2022-2023 Medicaid Managed Care Rate Development Guide ( PDF, 657.9 KB )
- CMS Enforcement Discretion – Medicaid Access Monitoring Review Plans Informational Bulletin ( PDF, 197.19 KB )
- Medicaid and CHIP Continuous Enrollment Unwinding – Toolkit ( PDF, 1.63 MB )
- Medicaid and CHIP Continuous Enrollment Unwinding – Toolkit Spanish ( PDF, 1.41 MB )
- 2022 Federal Poverty Level Standards ( PDF, 205.64 KB )
- 2022 Updates to the Health Home Core Health Care Quality Measurement Sets ( PDF, 339.79 KB )
- State Release 188: State Pharmacy Assistance Programs – Review Requested ( PDF, 276.49 KB )
- CMS released the 2019 T-MSIS SUD Data Book ( PDF, 4.69 MB )
- Connecting Kids to Coverage: State Outreach, Enrollment and Retention Strategies issue brief ( PDF, 481.27 KB )
- Updates to Intake Process for State Submissions to CMS ( PDF, 830.88 KB )
- 2022 SSI and Spousal Impoverishment Standards ( PDF, 336.77 KB )
- Medicaid and CHIP Telework Playbook ( PDF, 1.6 MB )
- SHO: Medicaid Eligibility for COFA Migrants ( PDF, 444.81 KB )
- Medicaid and CHIP Coverage and Reimbursement of COVID-19 Testing Activities ( PDF, 227.57 KB )
- Public Charge and Safeguarding Beneficiary Information ( PDF, 342.03 KB )
- 2021-2022 Medicaid Managed Care Rate Development Guide ( PDF, 611.56 KB )
- Updated 2021 SSI and Spousal Impoverishment Standards ( PDF, 327.33 KB )
- CMS released the Medicaid Long-Term Services and Supports (LTSS) Annual Expenditures Report for FFY 2017 and 2018 ( PDF, 5.87 MB )
- CMS released Medicaid and CHIP Sickle Cell Disease Report ( PDF, 1.61 MB )
- SHO: Mandatory Medicaid State Plan Coverage of Medication-Assisted Treatment ( PDF, 206.49 KB )
- CIB: 2021 SSI and Spousal Impoverishment Standards ( PDF, 238.92 KB )
- CMS releases Long-Term Services and Supports Rebalancing Toolkit ( PDF, 1.27 MB )
- CMS released a new supplement to its Medicaid & CHIP Telehealth Toolkit ( PDF, 1022.8 KB )
- CMS releases guidance to states on advancing value-based care in Medicaid ( PDF, 525.99 KB )
- CIB: CMS Oral Health Initiative and Dental Technical Support Opportunity ( PDF, 219.72 KB )
- CIB: Updated 2020 SSI and Spousal Impoverishment Standards ( PDF, 138.54 KB )
- CIB: Medicaid Managed Care Options in Responding to COVID-19 ( PDF, 213.82 KB )
- New COVID-19 FAQs for State Medicaid and CHIP Agencies ( PDF, 661.69 KB )
- Medicaid & CHIP Telehealth Toolkit ( PDF, 1.28 MB )
- Updated: COVID-19 FAQs for State Medicaid and CHIP Agencies ( PDF, 2.61 MB )
- COVID-19 FAQs on implementation of Section 6008 of the Families First Coronavirus Response Act ( PDF, 94.2 KB )
- COVID-19 Public Health Emergency Section 1115(a) Opportunity for States ( DOCX, 121.76 KB )
- Section 1135 Waiver Approval - Washington Coronavirus Disease 2019 ( PDF, 338.44 KB )
- CIB: 2020 Federal Poverty Level Standards ( PDF, 216.95 KB )
- CIB: Best Practices for Avoiding 340B Duplicate Discounts in Medicaid ( PDF, 171.27 KB )
- CIB: New Reporting Measures for Substance Use Disorder (SUD)-focused Health Homes ( PDF, 154.51 KB )
- CIB: Managed Care Contract Review Redesign Project ( PDF, 130.6 KB )
- CIB: Outcomes Based Certification for Electronic Visit Verification (EVV) Systems ( PDF, 184.96 KB )
- FAQ: Qualified Residential Treatment Programs ( PDF, 177.65 KB )
- SHO: Sponsor Deeming and Repayment for Certain Immigrants ( PDF, 172.36 KB )
- CIB: Further Guidance on Implementation Electronic Visit Verification ( PDF, 95.45 KB )
- SUPPORT Act Section 1018: Action Plan ( PDF, 49.97 KB )
- CIB: Comprehensive Strategy for Monitoring Access in Medicaid ( PDF, 62.06 KB )
- CIB: Temporary Census Income and Medicaid and CHIP Eligibility ( PDF, 175.12 KB )
- CIB: Oversight of State Medicaid Claiming and Program Integrity Expectations ( PDF, 120.42 KB )
- Medicaid Opportunities for Enhanced Match for Certain PDMP Expenditures FAQs ( PDF, 120.95 KB )
- CIB: Medicaid Prescription Spread Pricing ( PDF, 121.75 KB )
- SMD: Home and Community-Based Settings Regulation: Heightened Scrutiny ( PDF, 276.94 KB )
- CIB: 2019 Federal Poverty Level Standards ( PDF, 164.54 KB )
- CIB: Strategies to Support Dually Eligible Individuals Access to DMEPOS ( PDF, 98.52 KB )
- CIB: Nursing Facility Case-Mix Payment Changes ( PDF, 89.46 KB )
- Medicaid & CHIP September 2018 Application, Eligibility, and Enrollment Data ( ZIP, 260.52 KB )
- CIB: 2019 Adult and Child Core Set Quality Measures ( PDF, 160.7 KB )
- CIB: 2019 SSI and Spousal Impoverishment Standards ( PDF, 109.15 KB )
- CIB: Strong Start for Mothers and Newborns initiative (Strong Start) ( PDF, 151.21 KB )
- Medicaid & CHIP August 2018 Application, Eligibility, and Enrollment Data ( ZIP, 267.64 KB )
- FAQs: Office of Management and Budget Circular A-87 ( PDF, 100.8 KB )
- SHO: Key Provisions of Legislation Extending Federal Funding for CHIP ( PDF, 65.69 KB )
- Medicaid & CHIP July 2018 Application, Eligibility, and Enrollment Data ( ZIP, 257.57 KB )
- Medicaid & CHIP June 2018 Application, Eligibility, and Enrollment Data ( ZIP, 411.46 KB )
- SHO: Transformed-Medicaid Statistical Information System (T-MSIS) ( PDF, 136.4 KB )
- SMD: 21st Century Cures Act Section 5006 Compliance - Provider Directories ( PDF, 259.24 KB )
- CIB: Health and Welfare of Home and Community Based Services (HCBS) Waiver Recipients ( PDF, 450.6 KB )
- Medicaid & CHIP April 2018 Application, Eligibility, and Enrollment Data ( ZIP, 259.21 KB )
- CIB: Requirements of Section 12005 of the 21st Century Cures Act - EPSDT ( PDF, 68.09 KB )
- SMD: Leveraging Medicaid Technology to Address Opioid Crisis ( PDF, 316.29 KB )
- CIB: Updated 2018 Spousal Impoverishment Standards ( PDF, 89.05 KB )
- FAQs: Cures Act for Electronic Visit Verification ( PDF, 196.28 KB )
- CIB: Cures Act for Electronic Visit Verification ( PDF, 164.59 KB )
- Medicaid & CHIP February 2018 Application, Eligibility, and Enrollment Data ( ZIP, 257.43 KB )
- SMD: Penalty Period Start Date for Certain HCBS Waiver Participants ( PDF, 58.61 KB )
- CIB: Compliance with Medicaid Home Health Final Regulation ( PDF, 150.02 KB )
- Medicaid & CHIP January 2018 Application, Eligibility, and Enrollment Data ( ZIP, 258.47 KB )
- CIB: 2018 Federal Poverty Level Standards ( PDF, 136.74 KB )
- Medicaid & CHIP December 2017 Application, Eligibility, and Enrollment Data ( ZIP, 257.32 KB )
- Medicaid & CHIP November 2017 Application, Eligibility, and Enrollment Data ( ZIP, 257.35 KB )
- SMD: Limit on Federal Financial Participation for Durable Medical Equipment in Medicaid ( PDF, 140.89 KB )
- Medicaid & CHIP October 2017 Application, Eligibility, and Enrollment Data ( ZIP, 259.63 KB )
- CIB: 2018 Spousal Impoverishment Standards ( PDF, 123.66 KB )
- Medicaid & CHIP September 2017 Application, Eligibility, and Enrollment Data ( ZIP, 261.49 KB )
- SMD: Medicaid Access to Care Implementation Guidance ( PDF, 96.13 KB )
- CIB: Section 1115 Demonstration Process Improvements ( PDF, 133 KB )
- SMD: Strategies to Address the Opioid Epidemic ( PDF, 170.7 KB )
- Medicaid & CHIP August 2017 Application, Eligibility, and Enrollment Data ( ZIP, 260.62 KB )
- Medicaid & CHIP July 2017 Application, Eligibility, and Enrollment Data ( ZIP, 260.02 KB )
- SMD: Implications of the ABLE Act for State Medicaid Programs ( PDF, 98.34 KB )
- SMD: Implications of the Cures Act for Special Needs Trusts ( PDF, 161.05 KB )
- Medicaid & CHIP May 2017 Application, Eligibility, and Enrollment Data ( ZIP, 258.21 KB )
- CIB: Medicaid Managed Care Regulations with July 1, 2017 Compliance Dates ( PDF, 58.46 KB )
- Medicaid & CHIP April 2017 Application, Eligibility, and Enrollment Data ( ZIP, 259.71 KB )
- CIB: Updated 2017 Spousal Impoverishment Standards ( PDF, 152.9 KB )
- Medicaid & CHIP February 2017 Application, Eligibility, and Enrollment Data ( ZIP, 254.77 KB )
- Medicaid & CHIP January 2017 Application, Eligibility, and Enrollment Data ( ZIP, 379.18 KB )
- CIB: 2017 Federal Poverty Level Standards ( PDF, 255.67 KB )
- Medicaid & CHIP December 2016 Application, Eligibility, and Enrollment Data ( ZIP, 259.32 KB )
- Medicaid & CHIP November 2016 Application, Eligibility, and Enrollment Data ( ZIP, 260.67 KB )
- Parity Compliance Toolkit ( PDF, 456.99 KB )
- FAQ: Health Services Initiative ( PDF, 79.6 KB )
- FAQs: Medicaid Family Planning Services and Supplies ( PDF, 76.29 KB )
- Medicaid & CHIP October 2016 Application, Eligibility, and Enrollment Data ( ZIP, 794.37 KB )
- SMD: Community First Choice State Plan Option ( PDF, 177.34 KB )
- CIB: Strengthening Program Integrity in Medicaid Personal Care Services ( PDF, 168.54 KB )
- CIB: 2017 SSI and Spousal Impoverishment Standards ( PDF, 58.23 KB )
- Medicaid & CHIP September 2016 Application, Eligibility, and Enrollment Data ( ZIP, 272.01 KB )
- CIB: Coverage of Blood Lead Testing for Children Enrolled in Medicaid and the Children's Health Insurance Program ( PDF, 143.21 KB )
- FAQ: Medicaid and CHIP Managed Care Final Rule (CMS-2390-F) ( PDF, 185.26 KB )
- CIB: Enhancing Enrollment of Individuals Transitioning from Medicaid or CHIP to Marketplace Coverage ( PDF, 103.1 KB )
- The Use of New or Increased Pass-Through Payments in Medicaid Managed Care Delivery Systems ( PDF, 87.89 KB )
- FAQs on the Covered Outpatient Drug Final Rule with Comment (CMS-2345-FC) ( PDF, 205.53 KB )
- CIB: Addendum to 2016 Medicaid Managed Care Rate Development Guide ( PDF, 73.43 KB )
- SHO: Medicaid Family Planning Services and Supplies ( PDF, 148.43 KB )
- CIB: Strategies to Enroll and Retain Eligible Children in Medicaid and CHIP ( PDF, 140.08 KB )
- CIB: Social Security Number Removal Initiative (SSNRI) ( PDF, 64.05 KB )
- Medicaid & CHIP February 2016 Application, Eligibility, and Enrollment Data ( PDF, 1.3 MB )
- SMD: Mechanized Claims Processing and Information Retrieval Systems-Enhanced Funding ( PDF, 173.93 KB )
- RTC: Community First Choice ( PDF, 2.22 MB )
- CIB: 2016 Federal Poverty Level Standards ( PDF, 89.67 KB )
- Medicaid & CHIP October 2015 Application, Eligibility, and Enrollment Data ( PDF, 1.31 MB )
- SHO: Obergefell v. Hodges and Eligibility for Medicaid/CHIP ( PDF, 75.19 KB )
- Medicaid & CHIP September 2015 Application, Eligibility, and Enrollment Data ( PDF, 1.21 MB )
- CIB: 2016 SSI and Spousal Impoverishment Standards ( PDF, 63.24 KB )
- Assuring Medicaid Beneficiaries Access to Hepatitis C (HCV) Drugs ( PDF, 155.54 KB )
- Medicaid & CHIP August 2015 Application, Eligibility, and Enrollment Data ( PDF, 715.76 KB )
- Medicaid & CHIP July 2015 Application, Eligibility, and Enrollment Data ( PDF, 1.21 MB )
- CIB: Minimum Acceptable Risk Standards for Exchanges (MARS-E) 2.0 ( PDF, 105.5 KB )
- SHO: Policy Options for Using SNAP to Determine Medicaid Eligibility and an Update on Targeted Enrollment Strategies ( PDF, 218.82 KB )
- CIB: Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming) ( PDF, 109.81 KB )
- CIB: Establishing "SOTA 2.0" as a Coordinated Point of Contact for State ( PDF, 212.83 KB )
- 2014 Actuarial Report on the Financial Outlook of Medicaid ( PDF, 1020.36 KB )
- CIB: Coverage of Housing-Related Activities and Services for Individuals with Disabilities ( PDF, 135.61 KB )
- FAQ: Home and Community-based Setting Requirements ( PDF, 175.39 KB )
- Medicaid/CHIP Provider Fingerprint-Based Criminal Background Check ( PDF, 233.79 KB )
- SMD: Affordable Care Act's Amendments to the Spousal Impoverishment Statute ( PDF, 244.59 KB )
- Medicaid & CHIP January 2015 Application, Eligibility, and Enrollment Data ( PDF, 1.03 MB )
- Medicaid & CHIP December 2014 Application, Eligibility, and Enrollment Data ( PDF, 1.28 MB )
- CIB: Coverage of Behavioral Health Services for Youth with Substance Use ( PDF, 253.47 KB )
- FAQs: Medicaid Managed Care Marketing Regulations ( PDF, 138.58 KB )
- CIB: 2015 Updates to the Child and Adult Core Health Care Quality Measurement Sets ( PDF, 142.27 KB )
- SMD: Medicaid Payment for Services Provided without Charge (Free Care) ( PDF, 106.75 KB )
- CIB: 2015 SSI and Spousal Impoverishment Standards ( PDF, 98.21 KB )
- CIB: Delay/Release of Affordable Care Act Federal Upper Limit ( PDF, 99.69 KB )
- SHO: Minimum Essential Coverage ( PDF, 165.89 KB )
- CIB: Delivery Opportunities for Individuals with a Substance Use Disorder ( PDF, 112.92 KB )
- August Medicaid & CHIP Monthly Application and Eligibility Report ( PDF, 661.43 KB )
- FAQ: Health Insurance Providers Fee for Medicaid Managed Care Plans ( PDF, 159.2 KB )
- FAQ: Medicaid & CHIP Services to Address Autism ( PDF, 607.49 KB )
- July Medicaid & CHIP Monthly Application and Eligibility Report ( PDF, 669.25 KB )
- CIB: Process for Amending Alternative Benefit Plans ( PDF, 93.16 KB )
- CIB: CMCS Maternal and Infant Health Initiative ( PDF, 68.57 KB )
- CIB: Medication Assisted Treatment for Substance Use Disorders ( PDF, 163.14 KB )
- May Medicaid & CHIP Monthly Application and Eligibility Report ( PDF, 1.25 MB )
- April Medicaid & CHIP Monthly Application and Eligibility Report ( PDF, 756.57 KB )
- SMD Letter: Accountability #2: Financing and Donations ( PDF, 141.47 KB )
- Basic Health Program Frequently Asked Questions ( PDF, 209.76 KB )
- March Medicaid & CHIP Monthly Application and Eligibility Report ( PDF, 924.08 KB )
- February Medicaid & CHIP Monthly Application and Eligibility Report ( PDF, 687.57 KB )
- CIB: HCBS 1915(c) Waiver and 1915(i) SPA Settings' Requirements Compliance Toolkit ( PDF, 125.48 KB )
- Medicaid Managed Care Encounter Data Toolkit ( PDF, 1.02 MB )
- CIB: 2014 Federal Poverty Level Standards ( PDF, 100.19 KB )
- December Medicaid & CHIP Monthly Application and Eligibility Report ( PDF, 315.47 KB )
- CIB: Account Transfer Flat File Enrollment Options ( PDF, 86.8 KB )
- CIB: Medicaid Provisions in Recently Passed Federal Budget Legislation ( PDF, 135.84 KB )
- November Medicaid & CHIP Monthly Application and Eligibility Report ( PDF, 659.19 KB )
- Frequently Asked Questions: FFM Account Transfer Flat Files ( PDF, 198.3 KB )
- SHO: New Flexibility -Using Account Transfer Flat Files to Enroll Individuals in Medicaid and CHIP ( PDF, 117.76 KB )
- CIB: Update on Preventive Services Initiative ( PDF, 145.06 KB )
- CIB: 2014 Updated Spousal Impoverishment Standard ( PDF, 83.45 KB )
- SHO: Quality Considerations for Medicaid and CHIP Programs ( PDF, 228.39 KB )
- SHO Letter: Eligibility Reviews Under PERM and MEQC ( PDF, 106.11 KB )
- Targeting Medicaid Super-Utilizers to Decrease Costs and Improve Quality ( PDF, 423.03 KB )
- Tri-Agency Letter on Trauma-Informed Treatment ( PDF, 136.03 KB )
- Guidance on State Alternative Applications for Health Coverage ( PDF, 138.56 KB )
- SHO Letter: Facilitating Medicaid and CHIP Enrollment and Renewal in 2014 ( PDF, 206.71 KB )
- Coordination between Medicaid and Ryan White HIV/AIDS Programs ( PDF, 136.26 KB )
- CMS Oral Health Initiative and Other Dental-Related Items ( PDF, 142.8 KB )
- Medicaid Managed Care Technical Assistance Center for States ( PDF, 123.37 KB )
- SMD Letter: Federal and State Oversight of Medicaid Expenditures ( PDF, 98.55 KB )
- MAGI-Based Eligibility Verification Plans ( PDF, 87.27 KB )
- Q&A: Basic Health Program and Newly Eligible and Expansion State FMAP ( PDF, 135.35 KB )
- SHO Letter: 2013 Children's Core Set of Health Care Quality Measures ( PDF, 165.64 KB )
- SMD: Health Home Core Quality Measures ( PDF, 236.71 KB )
- SHO: Conversion of Net Income Standards to MAGI Equivalent Income Standards ( PDF, 177.59 KB )
- Informational Bulletin: Release of State Medicaid Director Letter on Essential Health Benefit Provision ( PDF, 97.35 KB )
- Essential Health Benefits in the Medicaid Program ( PDF, 110.41 KB )
- FAQ: Availability of Enhanced Funding for IT Systems (90/10) ( PDF, 104.38 KB )
- Informational Bulletin: Annual Reassignments for certain Low Income Subsidy (LIS) Eligible Individuals ( PDF, 213.9 KB )
- New 1115 application now available on Medicaid.gov ( PDF, 227.54 KB )
- Medicaid Managed Long-Term Services and Supports (MLTSS) - Two New Resources ( PDF, 100.33 KB )
- Guidance on Annual Re-determination of Medicare Part D Low-Income Subsidy Deemed Status (Re-deeming) ( PDF, 134.39 KB )
- Policy Considerations for Integrated Care Models ( PDF, 434.84 KB )
- Integrated Care Models ( PDF, 128.98 KB )
- Single Streamlined Application Data Elements Ready for Comment ( PDF, 247.96 KB )
- Clarification on State Medicaid Manual Vendor Access to Eligibility ( PDF, 228.98 KB )
- Seeking Public Input on Income Conversion ( PDF, 106.33 KB )
- New Housing Resources to Support Olmstead Implementation ( PDF, 79.59 KB )
- FDA Updated Statement on Makena ( PDF, 56.89 KB )
- CMS Oral Health Initiative: Webinars and Technical Assistance ( PDF, 141.41 KB )
- New Funding Opportunity - Aging and Disability Resource Center Program ( PDF, 222.75 KB )
- New Federal Register Publications ( PDF, 50.29 KB )
- Info Bulletin: Medicaid Financial Management Regulations Update ( PDF, 62.5 KB )
- Release of Home and Community-Based Services Rules ( PDF, 127.6 KB )
- Info Bulletin: Section 1104 of the Affordable Care Act ( PDF, 92.84 KB )
- Medicaid and CHIP Eligibility and Enrollment final rule released ( PDF, 64.05 KB )
- Info Bulletin: Review and Approval Process for Sec.1115 ( PDF, 75.89 KB )
- Essential Health Benefits FAQs ( PDF, 71.68 KB )
- Updated Information on ICD-10 Compliance ( PDF, 49.25 KB )
- New Developments in Maternal and Child Health Policy ( PDF, 57.64 KB )
- Adult Health Care Quality Measures and CALT ( PDF, 80.27 KB )
