Strengthened Tool to Address Health-Related Social Needs: The New Medicaid Managed Care Regulation’s “In Lieu of Services” Explained

Medicaid managed care plans have long covered “In Lieu of Services” (ILOS), which are services that are provided in substitution of traditional Medicaid state plan services. For example, a managed care plan might provide a community-based depression screening in lieu of an office visit screening. In 2016, CMS first defined the contours of ILOS in […]

New Rule Seeks to Improve Transparency of State Medicaid Provider Payment Rates

CMS recently finalized two key regulations: “Ensuring Access to Medicaid Services” (Access Rule) and “Medicaid, CHIP Managed Care Access, Finance, and Quality” (Managed Care Rule), aimed at improving access to care in Medicaid across delivery systems (fee-for-service and managed care) and authorities (state plan and waiver services). The rules are long and complex; we’ve summarized […]

Federal Task Force Releases National Strategy to Improve Maternal Mental Health Care, Includes Medicaid Policies

This week the Task Force on Maternal Mental Health released a national strategy to improve maternal health care and an accompanying report to Congress. The federal interagency task force was created under the Consolidated Appropriations Act, 2023 for purposes of identifying, evaluating, and making recommendations to coordinate and improve federal activities related to addressing maternal […]

Medicaid Supports Student Success in School Districts Across the Country

By: Aubrianna Osorio, Emma Ford, Anne Dwyer, and Margaux Johnson-Green Research consistently shows that Medicaid coverage in childhood has long-term benefits, including supporting student success. New data on the share of children with Medicaid/CHIP coverage are now available for more than 7,000 school districts nationwide and show how important these coverage programs are to students across […]