Kudos to the OIG! That would be the Office of the Inspector General of the Department of Health and Human Services. Although OIG is better known for its fraud-fighting persona, it also has a broader mission of making government programs work better. And with last month’s report, “High Rates of Prior Authorization Denials by Some […]
In another round of mental health-related announcements, this week, the Centers for Medicare & Medicaid Services (CMS) released a Medicaid and CHIP Mental Health and Substance Use Disorder Action Plan alongside Administration announcements focused on mental health parity. The seventeen page Mental Health and Substance Use Disorder Action Plan provides an overview of Medicaid and […]
By Ella Mathews and Shreya Kalra As Unwinding Wednesday readers know, our 50 State Unwinding Tracker is updated regularly as we monitor new information, specifically new unwinding data, provided by states. The tracker has evolved since we released it almost a year ago – both in the number of states publicly providing unwinding information and […]
As of July 1st all states in the country (except for Oregon) have started the process of renewing and disenrolling children and adults from Medicaid according to CMS’s latest chart. As readers of SayAhhh! are well aware, states are checking eligibility for everyone enrolled in Medicaid after the continuous coverage protections associated with the COVID-19 […]
We’re only four months into the Medicaid unwinding and the scale of coverage loss for procedural reasons is already staggering. An estimated 1.6 million individuals have lost coverage, with 71 percent terminated for procedural reasons. Stories are trickling in about why these procedural disenrollments may be occurring, including families not getting notices in the mail. […]
This week, we released a new analysis, written by Allexa Gardner, Joan Alker and Leo Cuello, that finds Georgia’s limited Medicaid expansion program, known as “Pathways,” is fiscally foolish and sets up a structure that discriminates against parents. Enrollment for Pathways begins on July 1st with coverage being at a later date likely September 1. […]
