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Proposed Eligibility Rule Simplifies Medicaid and CHIP Enrollment Process for Children

In a continuing effort to strengthen Medicaid and access to affordable, quality health coverage, the Biden Administration has proposed a series of eligibility rule changes. The Notice of Proposed Rulemaking (NPRM) seeks to streamline application and enrollment, improve retention rates, remove barriers specific to CHIP, and enhance program integrity. Eliminates enrollment barriers and benefit caps […]

DHS Finalizes DACA Regulations To Protect Young DREAMers

[For most update information on DACA health coverage, see this blog post.] The Department of Homeland Security (DHS) recently finalized regulations on the Deferred Action for Childhood Arrivals (DACA) policy, bringing much needed reassurance to DACA grantees, sometimes called “DREAMers.” After the proposed rule was issued last fall, we submitted comments suggesting DHS adopt a […]

Federal Report Estimates 383,000 Losing Medicaid at End of PHE in Non-Expansion States Will Have No Affordable Options Open to Them

As part of the public health emergency declared by the federal government during the COVID-19 pandemic, people who were enrolled in Medicaid in states across the country were protected from losing it through a continuous coverage provision.  The idea was to keep as many people covered as possible with comprehensive, affordable health care during the […]

CMS Preps for Upcoming School Year with New Guidance on Leveraging Medicaid to Support School-Based Services

As summer is nearing its end, the Centers for Medicare & Medicaid Services (CMS) is getting a jump on the new school year with a series of announcements aimed at improving children’s physical and mental health. As our colleague Kelly Whitener previewed last week, CMS released a number of Informational Bulletins (CIBs), including two related […]

Medicaid Managed Care Meets the False Claims Act (Again)

Last week the Department of Justice announced that a California managed care organization (MCO) and three providers had agreed to pay a total of $70.7 million to settle allegations that they submitted false claims to the state’s Medicaid program. Most of the payments ($68.25 million) will go to the federal government, the remaining $2.45 million […]

CHIP Helped My Family Through a Tough Time

We often hear “it takes a village to raise a child” and that adage certainly holds true for my childhood. I am the third oldest in a large family. My parents worked different shifts so one of them could usually be home with us while my grandparents filled in the gaps. Additionally, my two older […]