Federal Report Estimates 383,000 Losing Medicaid at End of PHE in Non-Expansion States Will Have No Affordable Options Open to Them

As part of the public health emergency declared by the federal government during the COVID-19 pandemic, people who were enrolled in Medicaid in states across the country were protected from losing it through a continuous coverage provision.  The idea was to keep as many people covered as possible with comprehensive, affordable health care during the […]

CMS Preps for Upcoming School Year with New Guidance on Leveraging Medicaid to Support School-Based Services

As summer is nearing its end, the Centers for Medicare & Medicaid Services (CMS) is getting a jump on the new school year with a series of announcements aimed at improving children’s physical and mental health. As our colleague Kelly Whitener previewed last week, CMS released a number of Informational Bulletins (CIBs), including two related […]

Medicaid Managed Care Meets the False Claims Act (Again)

Last week the Department of Justice announced that a California managed care organization (MCO) and three providers had agreed to pay a total of $70.7 million to settle allegations that they submitted false claims to the state’s Medicaid program. Most of the payments ($68.25 million) will go to the federal government, the remaining $2.45 million […]

CHIP Helped My Family Through a Tough Time

We often hear “it takes a village to raise a child” and that adage certainly holds true for my childhood. I am the third oldest in a large family. My parents worked different shifts so one of them could usually be home with us while my grandparents filled in the gaps. Additionally, my two older […]

An Estimated 3.8 Million Eligible Children Could Lose Medicaid Due to Administrative Churn During the Unwinding

The Office of the HHS Assistant Secretary for Planning and Evaluation (ASPE) released new projections of the number of people likely to lose Medicaid after the COVID-related continuous coverage protection is lifted at the end of the public health emergency (PHE). Similar to other analyses, ASPE estimates that about 15 million people, including 5.3 million […]

Coalition Recommends HHS Take Steps to Improve Medicaid Waiver Process

Section 1115 Medicaid waivers drive a large and growing share of Medicaid spending. Currently, 46 states and D.C. operate some or all of their Medicaid programs under section 1115 demonstration authority. Many of these waivers promote coverage; others undermine it, and in the process, the Medicaid program. Unfortunately, the federal regulations governing section 1115 waivers […]