Blog
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Unwinding Wednesday #13: New Unwinding Resources, Including State-Specific Renewal Flyers
We are pleased to share new content on our unwinding resource page. State-Specific Renewal Flyers We are particularly pleased to announce the addition of state-specific renewal flyers that include the state agency website and toll-free numbers. One set of flyers also includes the income eligibility levels for children and adults, the other does not. The…
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Mapping the Barriers to Renewing Medicaid Coverage for Rural Arizonans When Continuous Coverage Ends
By Zaida Dedolph Piecoro and Bryna Koch Currently, half of those at risk of coverage loss at the end of the public health emergency (PHE) in Arizona are children under 19. Like many others, we at Children’s Action Alliance and our partners at the University of Arizona, Arizona Center for Rural Health are strategizing to…
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Unwinding Wednesday #12: More States Are Taking Advantage of Flexibilities Aimed at Mitigating Gaps in Coverage during Unwinding
A few months ago, we wrote about new data from CMS on approvals of time-limited waivers, or (e)(14) waivers, that states may adopt to smooth the unwinding process and mitigate unnecessary gaps in coverage. Only 20 states had been approved for these temporary waivers at the time the data was initially released. Since then, the…
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States Can Help Address the Child Care Crisis by Prioritizing Health Coverage
Federal and state lawmakers are seeking policy solutions to address the child care crisis that was exacerbated by the pandemic. Workforce challenges loom large, with necessary attention to boost wages for the child care professionals who play a role in not only helping parents work, but also promoting early childhood development. But states can also…
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New Report Highlights Role Medicaid Can Play in Advancing Comprehensive School Mental Health Services
Last month, the Healthy Schools Campaign and Mental Health America released a new report titled, “State Policy Opportunities: Advancing Comprehensive School Mental Health Systems to Support Students”, which provides a new perspective on the key actors that can play a role in advancing comprehensive school mental health systems for students. But what counts as a…
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Federal Focus on Behavioral Health Crisis Care
You may be thinking that we’ve been writing a lot about behavioral health on Say Ahhh! lately. Well, you’re right – and there’s more! For starters, last week, the Substance Abuse and Mental Health Services Administration (SAMHSA) released new National Guidelines for Child and Youth Behavioral Health Crisis Care, complementing other recent resources such as…
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Are Medicaid Enrollees Aware that Medicaid Renewals Will Restart Soon?
A new brief by the Urban Institute indicates that nearly two-thirds of adults (62 percent) who are covered by or have a Medicaid-enrolled family member are unaware that Medicaid renewals will be restarting in the future. Of those who had heard at least a little about the resumption of renewals, the largest source of information…
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Unwinding Wednesday #11: No 60-day Notice on the Unwinding; PHE Expected to Be Extended Until April 2023
[Editor’s Note: The end-of-year bipartisan funding agreement released on December 20 would delink the continuous coverage requirement from the HHS Secretary’s declaration of a public health emergency and start the Medicaid “unwinding” process on April 1. The agreement includes 12 months of continuous coverage for children and other provisions designed to protect individuals eligible for…
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States Leading the Way on Connecting All Children with Health Coverage – Will Congress Follow?
According to the Urban Institute, over half of the remaining uninsured children are eligible for Medicaid or the Children’s Health Insurance Program (CHIP) but unenrolled. About a third of uninsured children are ineligible for Medicaid or CHIP because their family income exceeds the eligibility thresholds. Another 10% are ineligible for Medicaid/CHIP because of their immigration…
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Transparency in Medicaid Managed Care: The Power of the California Procurement Database
The Illinois Answers Project has just published a must-read piece of investigative reporting: “Insurance Giant Failed Foster Kids with Inadequate Care.” It raises a number of disturbing questions about the way children in foster care are being treated in the state’s Medicaid managed care program. About the performance of a Centene subsidiary that has contracted…
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South Dakota Voters Pass Medicaid Expansion. What Happens Next?
South Dakota voters followed the pattern of six other states and voted this week to expand Medicaid, extending affordable health care to more than 40,000 adults largely working in jobs without health coverage like hospitality, food service, and construction. In taking this action, South Dakota now joins 39 other states and the District of Columbia.…
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Unwinding Wednesday #10: FAQs Provide Additional Clarity on State Options Before and During the Unwinding
Over the past two years, CMS has published a wealth of resources designed to aid states in the unwinding process. These documents, which provide guidance and lay out flexibilities available to states, are available on a single landing page on Medicaid.gov. In our tenth installment of Unwinding Wednesday, we are highlighting a recent addition to…
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Medicaid Managed Care: The Big Five in PHE Q11 (Q3 2022)
September 30 marked the end of the 3rd quarter of this calendar year. It also marked the end of the 11th quarter of the Public Health Emergency (PHE). The two are not unrelated. During the PHE, states receive an additional 6.2 percentage points on their regular federal matching rate if they agree not to terminate…
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New MACPAC Data on the Highly Effective Medicaid Drug Rebate Program
As I have previously explained, under the highly effective Medicaid Drug Rebate Program, drug manufacturers must provide substantial rebates to the federal government and states as a condition of having their drugs covered by Medicaid. The rebates apply to both fee-for-service and to managed care. A groundbreaking 2021 Congressional Budget Office study found that compared…
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Unwinding Wednesday #9: CMS Should Add the Unwinding Supplemental Data to the Medicaid Performance Indicators
In last week’s Unwinding Wednesday blog, my colleague Allie Gardner noted that CMS is requiring states to provide supplemental data for monitoring the unwinding of the Medicaid continuous coverage protection. These data are in addition to the performance indicator data that states have been required to submit monthly since 2013. But … the supplemental data…
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Medicaid Beneficiaries Ask the Supreme Court: Do We Have a Friend in You?
On November 8, the Supreme Court will hear oral argument in what my colleague Leo Cuello has called “the most consequential case you’ve never heard of:” Health and Hospital Corporation of Marion County v. Talevski. The case began as a lawsuit against a county-owned nursing facility in Indiana by a now-deceased resident who alleged that…
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The End of Medicaid Rights May Be Upon Us: You Need to Know About the Talevski Case
The Supreme Court, the same court that trashed decades of settled precedent to overturn Roe and, in NFIB, for-the-first-time-ever ruled that a federal spending program (the Medicaid expansion) was “coercive” upon states, that court, is about to decide whether to completely wipe out the rights of Medicaid enrollees. Buckle up, friends. On November 8, the…
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HHS Announces New Planning Grants for Medicaid-Funded Behavioral Health Clinic Demonstration
Last week, the U.S. Department of Health and Human Services announced it will be awarding up to $15 million in new planning grants to states as part of its national expansion of the Medicaid-funded Certified Community Behavioral Health Clinic (CCBHC) demonstration program under the Bipartisan Safer Communities Act. The announcement comes on the heels of…
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Unwinding Wednesday #8: Key Data to Monitor Unwinding of the Medicaid Continuous Coverage Protection (Part 2)
As we prepare for the eventual end of the Medicaid continuous coverage protection, a key focus here at CCF has been on monitoring the unwinding process. In last week’s Unwinding Wednesday, my colleague Tricia Brooks highlighted data such as the Medicaid and CHIP performance indicator (PI) data that can be useful in monitoring the unwinding.…
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Mandatory Reporting on Medicaid Quality Measures: What Did Congress Intend?
In August, CMS posted its proposed rule to codify Congressional action taken in 2018 to mandate state reporting of the Child Core Set and the Adult Behavioral Health Core Set of quality measures in Medicaid and CHIP, starting in 2024. Until 2024, state reporting on the core sets is voluntary. I did a quick scan…
