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State Letter: Ensuring Compliance with Requirements to Conduct Medicaid and CHIP Renewal Requirements at the Individual Level

I am writing to remind the state of its obligations to conduct Medicaid renewals in accordance
with all federal requirements. Adhering to these requirements is necessary to ensure Medicaid
and Children’s Health Insurance Program (CHIP) eligible individuals retain their coverage,
especially during the state’s unwinding period, and in order for the state to comply with
longstanding federal Medicaid and CHIP renewal regulations and the conditions for the
temporary Federal Medical Assistance Percentage (FMAP) increase under section 6008 of the
Families First Coronavirus Response Act (FFCRA) for each quarter in which the state claims the
FMAP increase. As the Centers for Medicare & Medicaid Services (CMS) has worked with
states on the return to regular eligibility operations following the end of the Medicaid continuous
enrollment condition, we have identified issues where states are out of compliance with renewal
requirements.

Download the Guidance Document

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

Issue Date: August 30, 2023

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.