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Today the Biden Administration announced the final federal regulation “Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes” which, among other things, eliminates outdated red tape barriers to coverage for children insured through the Children’s Health Insurance Program (CHIP) that have been in place since its […]
Before the unwinding began, Tricia Brooks highlighted why call center data would be an important piece of the puzzle in understanding how states’ returns to routine operations were going. Reporting call center data, along with other data reporting requirements enacted by the Consolidated Appropriations Act, 2023 (CAA) help CMS track how the unwinding is going […]
Download Full Report (PDF) Introduction Mississippi remains one of only ten states in the nation that have not yet accepted enhanced federal Medicaid funding to cover low-income adults with incomes up to $20,783 per year1. In addition to a permanent enhanced federal match of 90% that is available to states to cover this group, the […]
As we have recently covered, and as we explained before it launched, Georgia’s “Pathways to Coverage” demonstration is riddled with defects. Pathways is the state’s alternative to a standard Medicaid expansion—an expansion with work requirements that has resulted in Georgia enrolling (as best we can tell) less than one percent of those eligible (yes, that’s […]
On March 22, 2024, the Centers for Consumer Information and Insurance Oversight (CCIIO) at the Centers for Medicare and Medicaid Services (CMS) released more detailed information on the nearly 21.5 million people — a historic high by far — who enrolled in the Affordable Care Act’s marketplaces during the 2024 Open Enrollment Period. According to […]
As my colleague Joan Alker explains, the state of Florida recently sued the federal government to block guidance from the Centers for Medicare and Medicaid Services (CMS) implementing the new requirement that all states provide 12-months continuous eligibility for children in Medicaid and the Children’s Health Insurance Program (CHIP) as of January 1, 2024. Specifically, […]
