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* Federal Policy Guidance
* Resources for States
View all in Resources for States
* Innovation Accelerator Program
View all in Innovation Accelerator Program
* Program Areas
* Reducing Substance Use Disorders
* Improving Care for Medicaid Beneficiaries with Complex Care Needs and
High Costs
* Promoting Community Integration Through Long-Term Services and Supports
* Functional Areas
* Medicaid State Technical Assistance
View all in Medicaid State Technical Assistance
* Health Home Information Resource Center
* Medicaid and School Based Services
* Frequently Asked Questions (FAQs)
* Events
* CMS SBS Resources
* U.S. Department of Education SBS Resources
* Grants
* Medicaid and CHIP Program Portal
View all in Medicaid and CHIP Program Portal
* Eligibility & Administration SPA Implementation Guides
* MACPro Training & Help
* Medicaid Data Collection Tool (MDCT) Portal
* MAC Learning Collaboratives
View all in MAC Learning Collaboratives
* Data Analytics
* Expanding Coverage
* Exchange Innovators
* Federally Facilitated Marketplace
* Value-Based Purchasing
* Medicaid Data Collection Tool (MDCT) Portal
* Managed Care Review (MC-Review)
View all in Managed Care Review (MC-Review)
* Managed Care Review (MC-Review) Frequently Asked Questions (FAQs)
* Disaster Response Toolkit
View all in Disaster Response Toolkit
* State Plan Flexibilities
* Using Section 1115 Demonstrations for Disaster Response
* Home & Community-Based Services in Public Health Emergencies
* Federal Disaster Resources
* Section 1135 Waiver Flexibilities
* Coronavirus Disease 2019 (COVID-19)
View all in Coronavirus Disease 2019 (COVID-19)
* Unwinding and Returning to Regular Operations after COVID-19
* Medicaid and CHIP Resources
* Guidance and FAQs
* Data Releases
* Other Resources
* State Waiver and Amendment Approvals
* Tools and Checklists for States
* Other Agency Guidance
* CMS Guidance
* Clinical and Technical Guidance
* Billing and Coding Guidance
* Survey and Certification Guidance
* Medicare and Other Coverage Guidance
* Provider Enrollment Guidance
* Marketplace Plan Guidance
* Medicare Advantage Plan Guidance
* Open Payments Guidance
* Press Releases
* SPA and 1915 Waiver Processing
View all in SPA and 1915 Waiver Processing
* 1915 Waiver Toolkit
* CHIP SPA Toolkit
* Medicaid SPA Toolkit
* Medicaid and CHIP Eligibility & Enrollment Webinars
* CMCS Medicaid and CHIP All State Calls
View all in CMCS Medicaid and CHIP All State Calls
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* Medicaid
View all in Medicaid
* Medicaid State Plan Amendments
* Access to Care
* Program Integrity
View all in Program Integrity
* Affordable Care Act Program Integrity Provisions
* Cost Sharing
View all in Cost Sharing
* Cost Sharing Exemptions
* Out of Pocket Costs
* Indian Health & Medicaid
View all in Indian Health & Medicaid
* History
* Indian Health Care Improvement Act
* American Recovery & Reinvestment Act
* Tribal Affairs Guidance & Resources
* Outreach Tools
View all in Outreach Tools
* Supporting Enrollment Efforts
* Helping Connect Enrollees to Care
* Living Well
* Quality of Care
View all in Quality of Care
* Medicaid Managed Care
* Medicaid and CHIP Quality Resource Library
* Improvement Initiatives
* Performance Measurement
* Data Products
* Enrollment Strategies
View all in Enrollment Strategies
* Continuous Eligibility
* Express Lane Eligibility
* Lawfully Residing Immigrant Children & Pregnant Individuals
* Presumptive Eligibility
* Home & Community Based Services
View all in Home & Community Based Services
* HCBS Quality
* Home & Community Based Services Authorities
* HCBS Training
* Guidance & Additional Resources
* Statewide Transition Plans
* Technical Assistance
* Program Information
View all in Program Information
* Medicaid & CHIP Eligibility Levels
* Medicaid & CHIP Enrollment Data
* May 2024 Medicaid & CHIP Enrollment Data Highlights
* Monthly Reports
* Medicaid and CHIP Enrollment Snapshot
* Report Methodology
* Medicaid Enrollment Data Collected Through MBES
* Performance Indicator Technical Assistance
* Medicaid & CHIP Marketplace Interactions
* Targeted Enrollment Strategies
* Eligibility Verification Policies
* Section 1115 Demonstrations
View all in Section 1115 Demonstrations
* About 1115 Demonstrations
* How States Apply
* Transparency
* 1115 Demonstration Monitoring & Evaluation
* State Waivers List
* Section 1115 Demonstrations: Substance Use Disorders
* Section 1115 Demonstrations: Serious Mental Illness and Serious Emotional
Disturbance
* Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations
* Health Related Social Needs
* Re-entry/Justice Involved
* Budget Neutrality
* Managed Care
View all in Managed Care
* Managed Care Authorities
* Enrollment Report
* Managed Care Entities
* Guidance
* Managed LTSS
* Profiles & Program Features
* Technical Assistance
* Eligibility Policy
View all in Eligibility Policy
* Estate Recovery
* MAGI Conversion Plan
* Seniors & Medicare and Medicaid Enrollees
* Verification Plans
* Minimum Essential Coverage
* Spousal Impoverishment
* Medicaid Third Party Liability & Coordination of Benefits
* Medicaid Eligibility Quality Control Program
* Financial Management
View all in Financial Management
* Payment Limit Demonstrations
* Upper Payment Limit FAQs
* Disproportionate Share Hospitals
* Medicaid Administrative Claiming
* LTC Ombudsman Programs
* No Wrong Door
* Translation and Interpretation
* State Budget & Expenditure Reporting for Medicaid and CHIP
* Expenditure Reports MBES/CBES
* CMS-64 FFCRA and CAA Increased FMAP Expenditure Data
* Provider Preventable Conditions
* Actuarial Report on the Financial Outlook for Medicaid
* Section 223 Demonstration Program to Improve Community Mental Health
Services
* Data & Systems
View all in Data & Systems
* MACBIS
* Medicaid Information Technology Architecture
* Medicaid Management Information System
* Streamlined Modular Certification SMDL
* MES Compliance and Reapproval Process
* Medicaid Enterprise Reuse
* Health Information Technology
* Health Information Exchange
* IT Procurement Opportunities
* Certification
* Benefits
View all in Benefits
* Alternative Benefit Plans
* Alternative Benefit Plan Eligibility
* Designing an Alternative Benefit Plan
* Autism Services
* Behavioral Health Services
* Parity
* Substance Use Disorders
* Children and Youth
* SUPPORT Act Innovative State Initiatives and Strategies
* SUPPORT Act Provider Capacity Demonstration
* State Option to Provide Qualifying Community-Based Mobile Crisis
Intervention Services
* Dental Care
* Early and Periodic Screening, Diagnostic, and Treatment
* Vision and Hearing Screening Services for Children and Adolescents
* Lead Screening
* Hospice Benefits
* Mandatory & Optional Medicaid Benefits
* Prevention
* Telehealth
* Assurance of Transportation
* Prescription Drugs
View all in Prescription Drugs
* Branded Prescription Drug Fee Program
* Drug Utilization Review
* Federal Upper Limit
* Medicaid Drug Policy
* Medicaid Drug Rebate Program
* Pharmacy Pricing
* Program Releases
* Retail Price Survey
* State Drug Utilization Data
* State Prescription Drug Resources
* Long Term Services & Supports
View all in Long Term Services & Supports
* Health Homes
* Person-Centered Hospital Discharge Model
* Person-Centered Planning Grants
* State Profile Tool Grant
* Balancing Long Term Services & Supports
* Integrating Care
* Employment Initiatives
* Institutional Long Term Care
* Money Follows the Person
* PACE
* Alternatives to Psychiatric Residential Treatment Facilities
Demonstration
* Reports & Evaluations
* Self-Directed Services
* Direct Care Workforce
* CHIP
View all in CHIP
* Cost Sharing
* Benefits
* Financing
* CHIPRA
View all in CHIPRA
* CHIPRA Awards & Performance Bonus
* CHIP State Program Information
View all in CHIP State Program Information
* CHIP State Plan Amendments
* Reports & Evaluations
* CHIP Managed Care
* CHIP Quality & Performance
* Eligibility Standards
View all in Eligibility Standards
* Waiting Periods
* Continuous Eligibility (CE)
* Enrollment Strategies
* CCTAG
* Basic Health Program
* State Overviews
View all in State Overviews
* Scorecard
* State Profiles
* Medicaid MAGI & CHIP Application Processing Time
* About Us
View all in About Us
* Get Help with Medicaid & CHIP
* Contact Us
* Program History
* Leadership
* Center for Medicaid and CHIP Services
* FAQs
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Renew Your Coverage
Renewal Outreach Materials
CMS Strategic Plan
Agency Mission
Unwinding Data Reporting
Renew Your Coverage
Renewal Outreach Materials
CMS Strategic Plan
Agency Mission
Unwinding Data Reporting
Check your Medicaid notice or contact your state Medicaid office for more
information.
Get materials to help people with Medicaid or CHIP renew their health coverage
or find other health care options.
The Centers for Medicare & Medicaid Services (CMS) and the Center for Medicaid
and CHIP Services (CMCS) is dedicated to advancing health equity, expanding
coverage, and improving health outcomes.
CMCS serves as the focal point for all national programs relating to Medicaid
and Children’s Health Insurance Program (CHIP).
Get data and information about how states are resuming Medicaid and CHIP renewal
processes.
Prepare Now
Find Materials
Strategic Plan(link is external)
Learn More
Get Data
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Learn How to Apply for Coverage
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Comment or View Pending Demonstrations
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Medicaid & CHIP Scorecard
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Medicaid State Plan Amendments
NEW & NOTABLE
* CIB: State Compliance with Medicaid and CHIP Renewal Requirements by December
31, 2026 ( PDF, 340.94 KB ) Sep 20, 2024
* Final Rule: Misclassification of Drugs, Program Administration and Program
Integrity Updates Under the Medicaid Drug Rebate Program(link is external)
Sep 20, 2024
* Overview of CMS Enforcement Discretion Regarding Existing Health Care-Related
Tax Programs with Impermissible Redistributions ( PDF, 408.98 KB ) Sep 09,
2024
* Request for Comments on Templates for Documenting Compliance with Mental
Health Parity and Addiction Equity Act Requirements in Medicaid and CHIP
(September 2024) ( PDF, 343.17 KB ) Sep 09, 2024
* Medicaid & CHIP May 2024 Application, Eligibility, and Enrollment Data Aug
30, 2024
See All
--------------------------------------------------------------------------------
COVID-19 PUBLIC HEALTH EMERGENCY FLEXIBILITIES AND RETURNING TO REGULAR
OPERATIONS
On April 10, 2023, the COVID-19 National Emergency ended and on May 11, 2023,
the federal COVID-19 Public Health Emergency expired. Find out more on Medicaid
and CHIP flexibilities, coverage, and benefits related to COVID-19.
The Medicaid continuous enrollment condition, authorized by the Families First
Coronavirus Response Act, ended on March 31, 2023. Find resources related to
returning to normal operations and restarting full Medicaid and CHIP eligibility
renewals.
--------------------------------------------------------------------------------
NONDISCRIMINATION IN HEALTH
There have been recent court decisions staying or enjoining provisions of the
2024 Final Rule implementing Section 1557 of the ACA. Learn more.
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