North Dakota Medicaid/CHIP Coverage by School Districts, 2018-2022
North Carolina Medicaid/CHIP Coverage by School Districts, 2018-2022
New York Medicaid/CHIP Coverage by School Districts, 2018-2022
Research Update: New Data Show 2020 Census Undercounted Young Children in Every State and Most Counties
New data published by the U.S. Census Bureau indicate that young children ages 0-4 were undercounted in the 2020 Census in every state and in more than four out of five counties examined. The Census Bureau previously found that young children were undercounted by 5.4% nationwide — a larger undercount than for any other age […]
A Closer Look at the Access Provisions in Final Medicaid Managed Care Rule
As my colleague Leo Cuello has explained, the Centers for Medicare & Medicaid Services (CMS) has revised its regulations governing Medicaid managed care. One purpose of this new Managed Care Rule is to improve access to health care for children, families, and other populations enrolled in Medicaid managed care organizations (MCOs). This blog takes a […]
Which States Were Furthest Along in Medicaid Unwinding in 2023?
We recently released a report looking at state performance during the Medicaid unwinding with a focus on children. We examined data from the beginning of the unwinding, which varies by state, through the end of 2023. Some states (7) acted very cautiously and saw very little to no change in their net child Medicaid enrollment […]
Wyoming Medicaid/CHIP Coverage by School Districts, 2018-2022
Series: Improving Access and Managed Care in Medicaid and CHIP
Earlier this year, the Center for Medicare & Medicaid Services (CMS) finalized two new regulations aimed at improving access to care for those enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) across delivery systems. CCF experts summarize both rules in “An Explanation of Final Medicaid Managed Care and Access Rules“. Below is a […]
Beneficiary Advisory Councils: Historic Opportunity for State Medicaid Programs
The Center for Medicare & Medicaid Services’ (CMS) recent final regulation on Ensuring Access to Medicaid Services (“Access Rule”) is ushering in a new era of participation for people enrolled in Medicaid and their families and caregivers. (We summarized the new regulation here, and its companion managed care regulation here.) The Beneficiary Advisory Councils (BACs) […]
New Scan of Outreach Efforts Can Help States Reconnect Eligible People with Coverage
With the release of CCF’s enrollment report, the need for outreach to people who have recently lost Medicaid coverage due to the unwinding has never been more clear. The coming months will be a critical period for reconnecting eligible children and families with coverage to minimize gaps and the risk of becoming uninsured. There are […]
Marketplace Enrollment Among Those Losing Medicaid Coverage During Unwinding Slowed in Last Month of Open Enrollment
As readers of Say Ahhh! know, I have been tracking monthly data (here, here, here, here, here, here, here, here and here) from the Centers for Medicare and Medicaid Services (CMS) on the number of people who were either previously enrolled in Medicaid or had experienced a denial or termination during unwinding who then selected […]
State Medicaid and CHIP Outreach Resources and Enrollment Assistance Snapshot
Introduction At the end of March 2023, states began the process of redetermining eligibility for more than 90 million Medicaid enrollees after a three-year pause on disenrollment during the COVID-19 pandemic. By December 2023, Medicaid net enrollment had declined by more than 8 million people, including over 4 million children. While a drop in enrollment […]
Final Medicaid Managed Care Rule Explained
CMS recently finalized two key regulations: “Ensuring Access to Medicaid Services” (Access Rule) and “Medicaid, CHIP Managed Care Access, Finance, and Quality” (Managed Care Rule), aimed at improving access to care in Medicaid across delivery systems (fee-for-service and managed care) and authorities (state plan and waiver services). The Managed Care Rule addresses five primary areas: […]
New Federal Rules Aim to Improve Access to Care for People Enrolled in Medicaid and CHIP
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 […]
New Report Focuses on Child Health Coverage Declines and What States Can do to Help Reconnect Kids with Medicaid/CHIP
As our nation approaches another sad milestone with nearly 5 million fewer children enrolled in Medicaid, we released a report looking at how states have responded to the challenge of the Medicaid “unwinding” process. With approximately half of the nation’s children enrolled in Medicaid, the stakes are very high for children and the providers who […]
Georgetown CCF Child Medicaid_CHIP Enrollment Report 2024
Child Medicaid Disenrollment Data Shows Wide Variation in State Performance as Continuous Coverage Pandemic Protections Lifted
Download the Full Report (PDF) Background During the COVID-19 public health emergency, states received increased federal Medicaid matching rates in exchange for a commitment to maintain continuous coverage for those enrolled in Medicaid. With the public health emergency winding down, as part of the Consolidated Appropriations Act (CAA), 2023, Congress ended the continuous coverage requirement […]
Florida CHIP Extension 1115 Comments FINAL
Postpartum Coverage and Benefits Key, But Merely the Start of Needed Medicaid Work to Address Maternal Health Crisis
Federal and state leaders have prioritized maternal health in Medicaid in recent years with welcome (if overdue) attention. As Say Ahhh! readers know, the new state option to extend postpartum coverage to 12 months for all pregnant women in Medicaid has been adopted or is in progress in all but two states (AR and WI) […]