Bureau of Health Care Financing Administration
RESOURCES
This resource page is made available for our policies, forms, documentation, and reports. If the information you are seeking is not available please contact the Bureau of Health Care Financing Administrative office at (671) 735-7470/7471.
Applications & Forms
- Guam DPHSS Public Assistance Application
- Medicaid and MIP Off-Island Referral Packet
- Guam Medicaid and MIP Provider Enrollment Application and Checklist_June 2023
- Guam Medicaid and MIP Provider Enrollment Disclosure of Ownership and Control Interest Statement_June 2023
- Guam DOA Vendor Record Estab Update Form
- Form W9
- BHCFA Form 24-01 – Prior Authorization Form
Program Handbooks and Benefits and Limitations
Policies
Guam Medicaid State Plan (GMSP):
- GMSP Cover Page and Table of Contents
- GMSP Section 1 – Single State Agency Organization
- GMSP Section 2 – Coverage and Eligibility
- GMSP Section 3 – Services
- GMSP Section 4 – General Program Administration
- GMSP Section 5 – Personnel Administration
- GMSP Section 6 – Financial Administration
- GMSP Section 7 – General Provisions
- GMSP-Buy-In Agreement
- GMSP-EPSDT Program
NOTE: Some sections of the GMSP have been revised. To review the latest updates, please click on the GMSP Amendments link below.
Guam Medicaid State Plan Amendments
Search on the Medicaid.gov website:
Reports
FY 2024 Medicaid and MIP Expenditure & Demographic Reports
FY 2023 Medicaid and MIP Expenditure & Demographic Reports
- FY 2023 Medicaid and MIP Expenditure & Demographics Report – End of 1st Quarter – Revised on 02.27.2023
- FY 2023 Medicaid and MIP Expenditure & Demographics Report – End of 2nd Quarter
- FY 2023 Medicaid and MIP Expenditure & Demographics Report – End of 3rd Quarter
- FY 2023 Medicaid and MIP Expenditure & Demographics Report – End of 4th Quarter
FY 2022 Medicaid and MIP Expenditure & Demographic Reports
- FY 2022 Medicaid and MIP Expenditure & Demographics Report – End of 1st Quarter
- FY 2022 Medicaid and MIP Expenditure & Demographics Report – End of 2nd Quarter
- FY 2022 Medicaid and MIP Expenditure & Demographics Report – End of 3rd Quarter
- FY 2022 Medicaid and MIP Expenditure & Demographics Report – End of 4th Quarter
FY 2021 Medicaid and MIP Expenditure & Demographic Reports
- FY 2021 Medicaid and MIP Expenditure & Demographic Report – End of 1st Quarter
- FY 2021 Medicaid and MIP Expenditure & Demographic Report – End of 2nd Quarter
- FY 2021 Medicaid and MIP Expenditure & Demographic Report – End of 3rd Quarter
- FY 2021 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter
FY 2020 Medicaid and MIP Expenditure & Demographic Reports
- FY 2020 Medicaid and MIP Expenditure & Demographic Report – End of 1st Quarter
- FY 2020 Medicaid and MIP Expenditure & Demographic Report – End of 2nd Quarter
- FY 2020 Medicaid and MIP Expenditure & Demographic Report – End of 3rd Quarter
- FY 2020 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter
FY 2019 Medicaid and MIP Expenditure & Demographic Reports
- FY 2019 Medicaid and MIP Expenditure & Demographic Report – End of 1st Quarter
- FY 2019 Medicaid and MIP Expenditure & Demographic Report – End of 2nd Quarter
- FY 2019 Medicaid and MIP Expenditure & Demographic Report – End of 3rd Quarter
- FY 2019 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter
- FY 2019 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter – Revised
FY 2018 Medicaid and MIP Expenditure & Demographic Reports
- FY 2018 Medicaid and MIP Expenditure & Demographic Report – End of 1st Quarter
- FY 2018 Medicaid and MIP Expenditure & Demographic Report – End of 2nd Quarter
- FY 2018 Medicaid and MIP Expenditure & Demographic Report – End of 3rd Quarter
- FY 2018 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter
FY 2017 Medicaid and MIP Expenditure & Demographic Reports
- FY 2017 Medicaid and MIP Expenditure & Demographic Report – End of 1st Quarter
- FY 2017 Medicaid and MIP Expenditure & Demographic Report – End of 2nd Quarter
- FY 2017 Medicaid and MIP Expenditure & Demographic Report – End of 3rd Quarter
- FY 2017 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter
FY 2016 Medicaid and MIP Expenditure & Demographic Reports
- FY 2016 Medicaid and MIP Expenditure & Demographic Report – End of 1st Quarter
- FY 2016 Medicaid and MIP Expenditure & Demographic Report – End of 2nd Quarter
- FY 2016 Medicaid and MIP Expenditure & Demographic Report – End of 3rd Quarter
- FY 2016 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter
- FY 2016 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter – Revised
FY 2015 Medicaid and MIP Expenditure & Demographic Reports
- FY 2015 Medicaid and MIP Expenditure & Demographic Report – End of 1st Quarter
- FY 2015 Medicaid and MIP Expenditure & Demographic Report – End of 2nd Quarter
- FY 2015 Medicaid and MIP Expenditure & Demographic Report – End of 3rd Quarter
- FY 2015 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter
FY 2014 Medicaid and MIP Expenditure & Demographic Reports
- FY 2014 Medicaid and MIP Expenditure & Demographic Report – End of 1st Quarter
- FY 2014 Medicaid and MIP Expenditure & Demographic Report – End of 2nd Quarter
- FY 2014 Medicaid and MIP Expenditure & Demographic Report – End of 3rd Quarter
- FY 2014 Medicaid and MIP Expenditure & Demographic Report – End of 4th Quarter