Latest
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Long-Awaited Rule on Mandatory Reporting of Child Core Set Quality Measures Proposed
Yesterday, CMS released its Notice of Proposed Rulemaking (NPRM) on the Child Core Set of Health Care Quality Measures in Medicaid and CHIP (known as the child core set). The proposed rule will implement the mandatory reporting of the child core set in 2024 as required by the Bipartisan Budget Act of 2018. The NPRM,…
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Continuous Coverage in Medicaid and CHIP
Executive Summary Continuous health insurance coverage produces a broad array of benefits across the health care sector for individuals, states, health plans, and providers. In particular, Medicaid continuous eligibility promotes health equity by limiting gaps in coverage for low-income children and adults who experience disproportionate rates of health disparities. Consistent access to health care, including…
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More Options for Eligibility Determination Potentially Crack the Seamless System
This week, CMS released a Q & A on State-Exchange Implementation with new information on several topics, which are described below. Of concern and worth highlighting is the disappointing departure from the proposed rules by now allowing states that choose not to implement a state-based exchange to retain control over Medicaid and CHIP eligibility. The Notice…
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Outreach Push Continues to Cover Eligible Children in Medicaid and CHIP
In one of those competitions where you wish all the teams could win, CMS was limited to choosing the best of the best in a second round of $40 million in grants for Medicaid and CHIP outreach, enrollment and retention activities. In announcing the grants, friends at CMS pointed to the olympic success in Oregon as strong…