Public/Private Coverage in SCHIP Reauthorization: Premium Assistance and Other Issues
Author: Joan Alker American Academy of Pediatrics, Committee on Federal Government Affairs — Presentation Document September 2007
Author: Joan Alker American Academy of Pediatrics, Committee on Federal Government Affairs — Presentation Document September 2007
Last week, we released a primer on the basics of MAGI – how rules for counting household size and income to determine eligibility for Medicaid and CHIP have been aligned with Marketplace subsidies. The move to MAGI has brought about a number of changes in Medicaid and CHIP, but to further complicate things, there are […]
Below is a description of sources used for data reported on the CHIP State Snapshots provided by Georgetown University Center for Children and Families (CCF) and the American Academy of Pediatrics (AAP). All snapshots are available here. Children’s Health Coverage Rates To calculate children’s coverage rates, Georgetown CCF conducts an analysis of single-year estimates […]
By Sean Miskell The Affordable Care Act (ACA) was designed to make quality health coverage more affordable and accessible, in part by promoting competition among insurers in the law’s new marketplaces. By providing consumers with a portal through which to compare plans and obtain financial assistance with the cost of coverage, policymakers hoped the marketplaces […]
It’s still cold here in New Hampshire, with more than a foot of hard-packed snow covering the ground. But that didn’t stop the Republican-led Senate from warming up to the idea of expanding Medicaid to cover an estimated 50,000 Granite Staters. The proposal moves over to the House, where representatives are expected to support the […]
By Dinah Wiley [Update: In August 2022, the Biden administration codified the DACA program in regulation. The regulation did not change health insurance for DACA grantees. For current information on DACA, visit the National Immigration Law Center.] We receive a lot of questions about the health insurance eligibility of non-citizens with a special Deferred Action status […]
I recently pulled out my calculator to look into the budget neutrality assumptions underlying Mississippi’s Section 1115 Medicaid waiver, and the results were disturbing. I unpacked this waiver in a previous blog. Kansas has a similar request pending and a handful of other non-Medicaid expansion states have suggested they may follow suit (including Alabama, South […]
Kudos to CMS for prompt posting of key dates that states are initiating action as we approach the end of Medicaid continuous eligibility on March 31, 2023. Keep in mind that these dates are “anticipated,” and the document bears a specific date; as such, the list will likely be updated if timelines shift. So, what […]
Medicaid and CHIP provide health insurance coverage to more than 84 million people, including low-income children, families, seniors, pregnant people, and people with disabilities. While Medicaid has a proven track record of providing affordable, high quality health care, stakeholders have long sought better transparency and accountability with respect to access to services. CMS recently finalized […]
Most CHIP directors I have known over the years are truly committed to the mission of covering children. They recognize the importance of coverage to children’s healthy development, along with the economic security and peace of mind it provides to families. So no doubt many CHIP directors are biting their nails over the fact that […]
By David Blatt, Oklahoma Policy Institute Last Friday, Oklahoma received formal word that the federal government has agreed to extend Insure Oklahoma, the state’s publicly-funded premium assistance health insurance program, until the end of 2014, subject to certain program changes. This one-year extension means that individuals and businesses that participate in the program will not […]
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 […]
By Joe Touschner Marketplaces are now open and families are comparing plans so it’s a good time to focus on where we stand on dental coverage and link to a couple of helpful resources from the Children’s Dental Health Project and Community Catalyst. As we’ve known since the Affordable Care Act was signed into law, […]
Download the Full Explainer (PDF) On April 2, 2024, the Centers for Medicare & Medicaid Services published the second part of a two-part final rule that simplifies the eligibility and enrollment processes for Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP).1 The rule eliminates certain access barriers for children enrolled […]
It turns out that CMS has a “Patients Over Paperwork” initiative, which the agency describes as “our effort to reduce administrative burden and improve the customer experience while putting patients first.” Who knew? If you’ve been following Administrator Verma’s crusade to condition Medicaid coverage on meeting requirements to document work, you would be quite surprised. […]
Today CMS issued the long-awaited final rule on access to covered Medicaid services. The rule describes the requirements under section 1902(a)(30)(A) of the Social Security Act, known as the “access requirement.” The access requirement provides that states must have methods and procedures to assure that payments to providers are “sufficient to enlist enough providers so […]
By Lena O’Rourke, CLASP The future of federal health policy feels uncertain right now—but for low-income children the need for high-quality health insurance has never been more urgent. Because governors, lawmakers, doctors, teachers, and parents all know how important health insurance is for the wellbeing of children, they want strong policy that provides coverage to children. […]
By Joan Alker and Olivia Golden Today, CLASP and the Georgetown University Center for Children and Families (CCF) are releasing a new report on the important but often-overlooked link between adult health care coverage and children’s healthy development – specifically, the connection between health care coverage and identifying and treating maternal depression, so that children […]
On March 11, the Biden Administration issued its budget plan for fiscal year 2025. Based on budget documents from the Office of Management and Budget (OMB) and the Department of Health and Human Services (HHS), here’s a brief summary of the budget’s major provisions related to Medicaid and the Children’s Health Insurance Program (CHIP), along […]
2020 Q2 marked the arrival of the coronavirus pandemic, stay-at-home orders, school closures, social distancing, and a recession. Families put off going to the doctor’s office for routine, non-emergency care. Primary care physician practices and clinics that bill for each visit saw sharp drops in their revenues as patients stayed at home (pediatricians’ offices were […]