Federal guidance letters

Starting July 1, 2025, state agencies are required to publish certain federal guidance letters received by the state agency on public websites and transmit copies to the Legislature. In accordance with Utah State Code 63G-16-3 letters are 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
6/11/2026Centers for Medicare and Medicaid ServicesSMD 26-003 Budget Neutrality and Certification for Section 1115
6/10/2026Administration for Children and FamiliesChild Welfare Policy Database - Section 8.5B Policy Q&A
5/5/2026Centers for Medicare and Medicaid ServicesCMS FFY 2027 Updates to the Health Home Core Quality Measure Sets
5/5/2026Administration for Children and FamiliesACF ACYF-CB-IM-26-02
4/27/2026Administration for Children and FamiliesACF ACYF-CB-PI-26-03
4/27/2026Centers for Medicare and Medicaid ServicesInfo Bulletin Updated 2026 SSI and Spousal Impoverishment Standards
4/24/2026Substance Abuse and Mental Health Services AdministrationSAMHSA DCL Updated Guidance on MAT MOUD
4/24/2026Substance Abuse and Mental Health Services AdministrationSAMHSA DCL Updated Guidance on Supplies and Services
4/8/2026Centers for Medicare and Medicaid ServicesCMS SHO 26-001 Implementation of Section 71109
3/30/2026Administration for Children and FamiliesCBCAP Program Instruction
3/12/2026Centers for Medicare and Medicaid ServicesInfo Bulletin Medicaid and CHIP Managed Care Monitoring and Oversight
3/6/2026Administration for Children and FamiliesChild Welfare Policy Database - Section 8.1H Policy Q&A
3/3/2026Administration for Children and FamiliesACF CAPTA Utah Letter
3/6/2026Administration for Children and FamiliesChild Welfare Policy Database - Section 8.1B Policy Q&A
3/4/2026Administration for Children and FamiliesACF HUD Utah Letter
3/6/2026Centers for Medicare and Medicaid ServicesSMD 26-001 Implementation of Eligibility Redeterminations
2/26/2026Centers for Medicare and Medicaid ServicesInfo Bulletin Enforcement Discretion for Requirements for a Medicaid FFS Grievance System for HCBS Until December 2027
2/20/2026Centers for Medicare and Medicaid ServicesCMS 2026-2027 Medicaid Managed Care Rate Development Guide
2/20/2026Centers for Medicare and Medicaid ServicesState Medicaid & CHIP EPSDT Requirements Toolkit
2/11/2026Administration for Children and FamiliesACF ACYF-CB-IM-26-01 Remote Court Hearings
2/11/2026Administration for Children and FamiliesSAMHSA ACF Dear Colleague Letter on Faith-Based Organizations
2/2/2026Administration for Children and FamiliesACF Letter re FDA-Approved MOUD and Title IV-E Prevention Services
2/2/2026Centers for Medicare and Medicaid ServicesCMS Letter Section 71116 of the Working Families Tax Cuts Legislation on State Directed Payments
2/2/2026Centers for Medicare and Medicaid ServicesCMS Center for Clinical Standards and Quality Shutdown Contingency Plans 02.02
1/23/2026Centers for Medicare and Medicaid ServicesCMS 2026 Federal Poverty Level Standards
1/16/2026Centers for Medicare & Medicaid ServicesProhibition on Termination of Enrollment Due to Incarceration
1/16/2026Centers for Medicare & Medicaid ServicesExercise of Enforcement Discretion until CY 2029 for Medicaid Interested Parties Advisory Group
1/16/2026Administration for Children and FamiliesCFSR Technical Bulletin 14
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
7/30/2025Substance Abuse and Mental Health Services AdministrationSAMHSA 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