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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Budget Neutrality for Section 1115(a) Medicaid Demonstration Projects SMDL
Date:
Topics:
- Program Administration
- Section 1115 Demonstrations
Type: State Medicaid Director Letter
Basic Health Program; Federal Funding Methodology for Program Year 2025
Date:
Topics:
- Affordable Care Act (ACA)
- Cost Sharing
- Vorteile
- Financing & Reimbursement
- Program Administration
- Eligibility
Type: Informational Bulletin
Ensuring Continuity of Coverage for Individuals Receiving Home and Community-Based Services
Date:
Topics:
- Access to Care
- Program Administration
Type: Informational Bulletin
Medicaid Family Planning Services and Supplies: Requirements and Best Practices
Date:
Topics:
- Program Administration
- Access to Care
- Cost Sharing
- Prescription Drugs
Type: Informational Bulletin
Provision of Medicaid and CHIP Services to Incarcerated Youth
Date:
Topics:
- Eligibility
- Vorteile
- Program Administration
Type: State Health Official Letter
Consolidated Appropriations Act, 2023 Amendments to Provider Directory Requirements
Date:
Topics:
- Data & Systems
- Program Administration
Type: State Health Official Letter
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