A Guide for Health Care Advocates: Medicaid Managed Care Procurement

Overview Most Medicaid beneficiaries in most states are enrolled in managed care organizations (MCOs). (See text box, “What’s a Medicaid MCO?”) State Medicaid agencies contract with MCOs to assemble networks of health care providers to furnish services to program beneficiaries and protect them from medical debt. Simply put, if an MCO does not do its job, […]

Response to Access RFI

Georgetown University Center for Children and Families submitted the following response to CMS’s request to identify strategies to ensure that individuals eligible for Medicaid and CHIP are able to apply, enroll in, and receive benefits in a timely and streamlined manner that promotes equitable coverage. CCF Response to Access RFI

Medicaid and CHIP Eligibility and Enrollment Policies as of January 2022: Findings from a 50-State Survey

Executive Summary Enrollment in Medicaid has grown significantly during the coronavirus pandemic. Provisions in the Families First Coronavirus Response Act (FFCRA) require states to provide continuous coverage for Medicaid enrollees until the end of the month in which the public health emergency (PHE) ends in order to receive enhanced federal funding. Continuous enrollment has helped to preserve […]

American Rescue Plan Home and Community-Based Services Funding: A Review of State Plans to Support Child and Adolescent Mental Health

The COVID-19 pandemic has taken an unprecedented toll on children’s mental health, exacerbating long-standing gaps in mental health care for children in the United States. Fortunately, a number of states plan to invest in initiatives that support youth behavioral and mental health by leveraging funds made available by section 9817 of the American Rescue Plan […]