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 […]
Last week, CMS announced the approval of section 1115 demonstration project requests from Delaware and Tennessee to provide diapers to young children covered by Medicaid. These approvals mark the first time a state has been authorized to cover diapers for infants in Medicaid regardless of medical necessity due to incontinence issues. Under federal statute, section […]
It’s now been four corporate reporting quarters since the start of the PHE unwinding on April 1, 2023. During that time, net national Medicaid enrollment—the combination of disenrollments from redeterminations, re-enrollment by some of those terminated, and new enrollments—has fallen by 13.1 million, including 5.0 million children. Of the disenrollments, 70 percent have been for […]
May is Mental Health Awareness Month. And with Medicaid (alongside the Children’s Health Insurance Program) serving as the largest payer of behavioral health services and covering more than half of all children in the US, you can’t talk about mental health without also talking about Medicaid and CHIP. In March 2024, President Biden signed into […]
The Medicaid Managed Care Rule published on May 10 has lots of moving parts. As my colleague Leo Cuello explains, the rule includes provisions to increase the transparency of state directed payments (SDPs). The rule also contains a number of other transparency requirements that are the focus of this blog, most of which are identical to those […]
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 […]
