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  • New Brief Highlights States’ Experiences in Implementing Ex Parte Renewals in Medicaid and CHIP

    Eligible children and families losing Medicaid or CHIP coverage at renewal for procedural or paperwork reasons has been a persistent problem. As Harvard researcher Dr. Benjamin Sommers has aptly noted, poor retention rather than poor take-up is the main reason why millions of children eligible for Medicaid and CHIP are uninsured. Dr. Sommers’ research has…

  • NASHP: State Insurance Commissions are Children’s Coverage Partners Too

    While Medicaid and CHIP are the primary sources of affordable health coverage for lower income children, it’s important not to lose site of the fact that more than half of all kids rely on the private insurance market for their health coverage. The National Academy for State Health Policy recently held a webinar exploring opportunities for states…

  • How Cuts to Safety Net Hospitals Impact the Uninsured in a State that Rejected Medicaid Expansion Funding

    by Miriam Harmatz, Florida Legal Services Much has been written—from blogs to briefs—documenting the tremendous positive impacts of Medicaid expansion. Less well-documented are the negative impacts that flow from rejecting expansion. Obviously, non-expansion states fail to reap the profound benefits of expansion. But they are not just failing to move forward with the expansion’s huge…

  • President Obama’s Budget Takes State-Level Debates over Surprise Out-of-Network Bills to National Policymakers

    by Sandy Ahn, Jack Hoadley and Sabrina Corlette of the Center on Health Insurance Reforms, originally posted on Health Affairs Blog, March 22, 2016 President Obama’s final budget proposal was met with little fanfare, but a lot of political opposition. The President, however, put forth one legislative proposal that deserves attention. It is aimed at helping…

  • It’s Time to Shed More Light on State Medicaid Quality

    by Jon Peacock and Sashi Gregory, Wisconsin Council on Children and Families Last week was Sunshine Week, the annual nationwide celebration of access to public information. Now that the celebrating is over, perhaps it’s a good time to bring up an area where Wisconsin needs to let in considerably more sunshine – health care quality measures…

  • Florida Children’s Health Expert Shares Insights on Major Turning Point for Immigrant Kids

    By Diana Ragbeer, The Children’s Trust On Thursday, March 17, Governor Rick Scott signed HB 5101 into law, thereby lifting the five-year waiting period for lawfully residing immigrant children to receive subsidized CHIP and Medicaid through Florida KidCare. This makes Florida the 31st state to take advantage of the provision known as the Legal Immigrant Children’s…

  • Improving Early Developmental Screenings for Ohio’s Kids: A Lesson in Collaboration 

    By Brandi Slaughter, Interim CEO, Voices for Ohio’s Children  We all want what’s best for our children – whether they are our patients, our students, our neighbors or our own kids. This shared commitment to the health and well-being of Ohio’s future leaders drove our recent work in Ohio to establish Early Periodic Screening Diagnosis and…

  • A Primer on Health Care Quality Measurement and Improvement for Children in Medicaid and CHIP

    When I was the CHIP Director in New Hampshire, we thought that achieving a 95% rate of coverage for kids was the high bar. As a country, we are not only closing in on that goal, but leading states have raised the bar to 98% and beyond. And while we must continue to eliminate disparities…

  • Report Provides (Some) Insight on Network Adequacy as New Regulations Promise More

    By Sean Miskell As more Americans gain coverage through the Affordable Care Act’s (ACA) marketplaces, attention is increasingly turning to the quality of this coverage, especially concerning the adequacy of the provider networks available under these plans. Questions about the scope of networks for plans sold through the Marketplace are important with regard to access…

  • Improving Health Care Access for American Indians and Alaska Natives

    by Jesse Cross-Call, originally posted on cbpp.org An updated policy for how the federal government helps finance the costs of Medicaid services for American Indians and Alaska Natives will improve the delivery of care and save states money. Medicaid plays a critical role in providing health care to American Indians and Alaska Natives; a quarter…

  • Research Shows that Utah and Florida’s “ICHIA Option” Will Improve Access to Health Coverage and Services For Lawfully Residing Immigrant Children

    Last week, both the Utah and Florida legislatures passed laws that extend Medicaid and CHIP coverage to lawfully residing children who would otherwise have had to wait five years before becoming eligible to enroll. This is a big victory in two states with some of the highest child uninsurance rates in the country. Related Content…

  • Breaking News: U.S. House Energy and Commerce Committee Moves to Cut CHIP Funding

    The Congressional budget process appears to be in a fair amount of chaos with Senate and House Republicans at risk of failing to agree with each other even on a Budget Resolution. While that is not surprising — given the state of disarray in Congress — I was surprised to see that the House Energy…

  • CHIP Bump Brings About Coverage Gains for Kids in Florida and Utah

    Just a few hours ago, the Florida legislature passed its final bills of the session and included an extension of Medicaid and CHIP coverage to lawfully residing immigrant children who are currently excluded for five years. Known to many as the “ICHIA option”, this was a huge victory for kids in Florida (and their advocates…

  • Oklahoma’s Proposed Medicaid Cut Won’t Pass Federal Muster

    by Jesse Cross-Call, originally posted on cbpp.org Oklahoma’s Senate is considering legislation, which its House passed last week, to end Medicaid coverage for 110,000 very low-income parents.  But even if Oklahoma enacts the legislation, federal officials almost certainly won’t grant the needed federal approval to move forward. By federal law, states must provide Medicaid coverage…

  • FAQ: Health Marketplace Tax Penalties, Exemptions, Reconciliation, and Special Enrollment Periods

    By  Tricia Brooks, Sandy Ahn, Sabrina Corlette, and JoAnn Volk, this was originally posted March 9, 2015 under the title “Confused about What Happens at Tax Time? FAQs on Penalties, Exemptions, Reconciliation, and SEPs“. As part of our Robert Wood Johnson Foundation funded work in providing technical assistance to consumer assisters in five states, we…

  • Some Tax Guidance for People in Immigrant Families

    Now that we are knee-deep in tax season, we have heard reports of confusion about new tax filing rules related to health coverage for people in immigrant families. Here are some of the common questions we’ve heard so far and our answers. Related Content: ICHIA Fact Sheet: CHIP and Health Coverage for Lawfully Residing Children…

  • IRS Issues Guidance on Overlapping Medicaid and Marketplace Coverage

    At last, we have IRS guidance informing consumers and tax preparers about issues with overlapping coverage through Medicaid and the Marketplace. I described this problem in a recent blog, highlighting the confusion that could result from 1095 forms showing dual coverage in Medicaid and the Marketplace. We have been concerned that during the tax reconciliation…

  • How Milwaukee Won the White House Healthy Communities Challenge

    In November, the White House launched a “Healthy Communities Challenge” and identified twenty cities with large numbers or high percentages of uninsured individuals to compete in enrolling new people in plans during OE3. Through this challenge, communities made concentrated efforts to reach remaining uninsured individuals and helped connect them to coverage. Good news and hearty…

  • EPSDT: A Primer on Medicaid’s Pediatric Benefit

    Children enrolled in Medicaid are entitled to a comprehensive array of preventive and ameliorative care through the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. Beyond the indecipherable acronym, EPSDT is a critically important benefit that is broadly recognized as the definitive standard for children. We’ve broken down the acronym in this fact sheet,…

  • Michigan’s Governor Turns to Medicaid in Flint Crisis

    We have often said that one of the very important features of Medicaid’s financing structure is the program’s ability to address emerging short and long-term public health crises. And previous national emergencies such as Hurricane Katrina and 9-11 also resulted in state leaders of all political persuasions looking to Medicaid to help them address critical…