Federal guidance letters

Starting July 1, 2025, state agencies are required to publish certain federal guidance letter information received by the state agency on public websites and transmit copies to the Legislature. Please see SB 198, passed in 2025 (Utah State Code 63G-16-3).Letters will be listed here as links to PDFs with the most recently received letters listed first.

Letters received starting July 1, 2025

Letters will be posted in reverse chronological order (newest first)


Date receivedFederal agencyDocument title/link
11/26/2025Centers for Medicare & Medicaid ServicesQuestions + Answers for State Recovery after the Federal Government Shutdown
11/26/2025Administration for Children and FamiliesWithdrawal of Child Welfare Policy Manual Questions and Answers and IM 98-04
11/25/2025Administration for Children and FamiliesChild Welfare Policy Database - Section 7.4
11/24/2025Centers for Medicare and Medicaid ServicesWFTC Public Law Summary
11/20/2025Administration for Children and FamiliesNotice of court order vacating the Designated Placements Final Rule
10/31/2025Centers for Medicare and Medicaid Services Revised 2 – CMS State Survey & Certification Activities in the Event of Federal Government Shutdown
10/23/2025Administration for Children and FamiliesChild Welfare Policy Database - Section 8.3A.8b
10/21/2025Centers for Medicare and Medicaid ServicesRevised – CMS State Survey & Certification Activities in the Event of Federal Government Shutdown
10/9/2025Centers for Medicare and Medicaid ServicesCMS State Survey & Certification Activities in the Event of Federal Government Shutdown
9/30/2025Centers for Medicare and Medicaid ServicesManaged Care Payments & EM Condition Coverages for Ineligible Aliens
9/11/2025Administration for Children and FamiliesUtah PREP Letter FINAL
9/10/2025U.S. Department of Health and Human Services Office of Civil RightsVaccines for Children Program Immunization Programs and Participating Providers
9/10/2025Centers for Medicare and Medicaid ServicesSection 71116 SDP Letter to States
9/8/2025Administration for Children and FamiliesIM-25-05 Supporting America's Children and Families Act
8/22/2025Centers for Medicare and Medicaid ServicesCover Letter to States for Medicaid Enrollment Oversight
8/22/2025Centers for Medicare and Medicaid ServicesHow to Process Eligibility Files
8/8/2025Centers for Medicare and Medicaid ServicesExternal FAQ for 2025 Medicaid_CHIP PDM
8/6/2025Centers for Medicare and Medicaid ServicesStreamlining MES Templates to Improve Monitoring and Oversight to Ensure Fiscal Integrity
7/30/2025SAMHSASAMHSA Dear Colleague letter (Harm reduction/opioid overdose prevention)
7/17/2025Centers for Medicare and Medicaid ServicesCMS Continuous Eligibility Letter to States
7/17/2025Centers for Medicare and Medicaid ServicesCMS Workforce Letter to States
7/7/2025Administration for Children and FamiliesNon-Discretionary Letter (CB) DEI Notification
7/3/2025Administration for Children and FamiliesTAB B Non-Discretionary Letter (OCS-SSBG)
7/3/2025Administration for Children and FamiliesNon-Discretionary Letter (OFVPS-FVPSA) DEI Notification
10/31/2025Centers for Medicare and Medicaid Services Revised 2 – CMS State Survey & Certification Activities in the Event of Federal Government Shutdown
11/24/2025Centers for Medicare and Medicaid Services