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Ensuring Seamless Coverage Transitions between Medicaid, Separate CHIP, and Other Insurance Affordability Programs and Exercise of Enforcement Discretion to Delay Implementation of Certain Coverage Transition Requirements

The Centers for Medicare & Medicaid Services (CMS) is committed to protecting access to health care for children enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) in a manner that protects the integrity of these programs and helps to ensure that eligible individuals retain coverage. The Center for Medicaid and CHIP Services (CMCS) is releasing this CMCS Informational Bulletin (CIB) to provide guidance about new federal requirements related to coverage transitions of children between Medicaid and separate CHIPs. This CIB also advises states that CMS is exercising temporary enforcement discretion in connection with implementation of certain other new requirements related to the issuance of combined Medicaid and separate CHIP eligibility notices and the transfer of individuals procedurally disenrolled from Medicaid and separate CHIPs to other insurance affordability programs.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: December 20, 2024

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.