Latest
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Medicaid Managed Care and Early Childhood Development: A 12-state Scan
Summary and Key Findings The first five years of a child’s life are a period of rapid growth and development. During this time, frequent check-ups are essential to monitor a child’s progress so that if a problem is identified an intervention can occur before things get worse. Medicaid, a primary source of health care coverage…
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Call Center Data Shows Trends Across States, But May Not Provide Full Picture
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…
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Medicaid Managed Care: Results of the PHE Unwinding for the Big Five in Q4 2023
Q4 2023 was also the third quarter of the PHE “unwinding”—the redetermination of eligibility for all 86.7 million Medicaid enrollees following the expiration of the Public Health Emergency continuous coverage provision in March 2023. These redeterminations have resulted in the disenrollment of over 16 million Medicaid enrollees as of January 2024, which translates into a…
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Most States Show Improvement in Automated (Ex Parte) Medicaid Renewal Rates
Although ex parte was hardly a household term before the unwinding of the Medicaid continuous enrollment requirement, most stakeholders and observers are now aware of the critical role automating renewals using data available to the state can play in reducing churn and promoting continuity of coverage in Medicaid and CHIP. The policy not only removes…