The U.S. Department of Health and Human Services (HHS) recently finalized a rule that will allow Deferred Action for Childhood Arrivals (DACA) grantees to access Marketplace coverage starting in November. Under the new rules, DACA grantees will be able to purchase qualified health plans (QHPs) in the Marketplaces and receive financial help in the form […]
By: Kristen Golden Testa, Policy Director at The Children’s Partnership In California, more than half of children get health coverage through Medi-Cal, the state’s Medicaid program. Medi-Cal is a critical support system for California families with low incomes, providing children access to the care they need for a healthy start in life. As nearly 75% […]
We recently released our snapshot of state Medicaid and CHIP outreach activities, just as a number of states are in the final stages of the unwinding and getting people reconnected to coverage becomes more important than ever. While the report provides in-depth analysis into state-provided outreach resources and enrollment assistance, we are also writing a […]
A federal court in Tampa dismissed the state of Florida’s legal challenge to the Biden Administration’s implementation of a new provision of federal law guaranteeing 12 months of continuous coverage in the Children’s Health Insurance Program – denying the state’s request for a preliminary injunction and, more importantly, dismissed the case from his courtroom. The […]
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 […]
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 […]
