Lack of ACA Navigator Funding Leads to Consumer Confusion, Decreased Enrollment

Open Enrollment is over in most states, and enrollment numbers are down slightlyfrom 8.8 million plan selections on healthcare.gov for plan year 2018 to 8.4 million plan selections for plan year 2019. Navigators thought the 2018 Open Enrollment was challenging, after a slew of policy changes including massive Navigator grant funding cuts, shortened enrollment period, 90 percent cuts to federal…

January 25, 2019

By

Olivia Hoppe

and

Adam Searing

Blog

First Round of Medicaid Disenrollment Data Is In Quickly: What We Know and Don’t Know

Five states (AR, AZ, ID, NH, SD) started disenrolling people from Medicaid last weekend (April 1st) as the unprecedented Medicaid “unwinding” begins. As readers of SayAhh! know, in exchange for extra federal funds, states have been prohibited from disenrolling anyone involuntarily from Medicaid since March 2020 due to the COVID-19 public health emergency. Quicker than…

April 6, 2023

By

Joan Alker

and

Allexa Gardner

Blog

What to Expect for Open Enrollment, 2026 Edition

The Affordable Care Act (ACA) Marketplaces have had their ups and downs over the last decade, but it’s hard to find a year when consumers have faced more uncertainty going into an open enrollment period. “Window shopping” for 2026 Marketplace health plans has already begun in several states and open enrollment begins in most states on November…

October 21, 2025

By

Sabrina Corlette

and

Karen Davenport

Blog

New Resource: WIC Can Help Medicaid Improve the Health of Pregnant and Postpartum People, Infants, and Young Children

By: Elisabeth Wright Burak, Sonya Schwartz, Zoë Neuberger, Jennifer Sullivan, Lauren Hall [Editor’s note: CBPP and CCF hosted a webinar to discuss this resource. Please find the webinar recording here and a copy of the presentation slides here).] Child health leaders are no strangers to the benefits of the Special Supplemental Nutrition Program for Women,…

February 28, 2024

By

Elisabeth Wright Burak

and

Guest

Media Coverage

MACPAC Worries States Will Quickly Trim Medicaid Rolls Post-Pandemic

Inside Health Policy By: Dorothy Mills-Gregg CMS needs to release guidance before the end of the public health emergency on how states should restart the Medicaid redetermination process, Medicaid and Children’s Health Insurance Program Payment and Access Commission members said, as they fear states might be too anxious to remove beneficiaries and overwhelm the system….…

October 7, 2020

By

News Article

Blog

States Make Strides, Share Lessons in Financing Infant and Early Childhood Mental Health

By: Alex Busuito In the first five years of life, children develop the social, emotional, and cognitive capacities that are the foundation for lifelong health and wellbeing. A significant financial investment in a robust system of care to support the mental health of babies, young children, and their caregivers goes a long way towards increasing…

October 9, 2024

By

Guest

Blog

States Lean In as the Federal Government Cuts Back: Navigator and Advertising Funding for the ACA’s Sixth Open Enrollment

On November 1, the Affordable Care Act’s (ACA) insurance marketplaces will launch their sixth enrollment season. This year, the challenges they face may be greater than laster year, with the loss of the individual mandate penalty as an enrollment incentive and the emergence of a parallel, unregulated market that could siphon away healthy enrollees. Yet the Trump administration has…

October 29, 2018

By

Sabrina Corlette

and

Rachel Schwab

Blog

Medicaid Managed Care Quality Strategy and Quality Rating System

The Medicaid and Children’s Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality final rule makes significant improvements to managed care quality requirements, including boosting transparency and reducing reporting lag times. When fully enacted, these changes will transition states from reporting a single overall quality rating for a managed care plan to rating all…

July 2, 2024

By

Tricia Brooks

Blog

Mississippi Center for Justice Presents CCF with Distinguished Partner Award

Georgetown University Center for Children and Families (CCF) received the Mississippi Center for Justice (MCJ) Distinguished Partner Award last month. During the award’s ceremony, MCJ Health Law Director Linda Dixon commended CCF for its collaborative style, expertise, and willingness to go the extra mile. “The Mississippi Center for Justice is grateful for our longstanding partnership…

July 14, 2022

By

Margaux Johnson-Green

Blog

First Batch of CMS Unwinding Data Includes Key Call Center Statistics

Last Friday, CMS released the first round of long-anticipated Medicaid unwinding data. The main focus has been on the renewal outcome data submitted in state monthly reports, which unfortunately was only available for the 18 states who began terminating coverage as of March 31 or in April 2023 due to a lengthy lag – and…

August 2, 2023

By

Allexa Gardner

and

Ella Mathews

Media Coverage

As record numbers of Pennsylvanians struggle, more ask for help

Pittsburgh Post-Gazette By: Kate Giammarise With many businesses still partially or completely closed and unemployment climbing, some Pennsylvanians are turning to public programs to make ends meet — though far fewer than might be expected given double-digit jobless numbers and long lines at free food distribution sites… A dozen states have posted April enrollment data…

May 26, 2020

By

News Article

Blog

Minnesota Medicaid Revisits the Question: Managed Care or Fee-for-Service?

In the beginning, there was fee-for-service (FFS). In this case, the beginning was 1965, when Medicaid (and Medicare) were enacted. FFS was the way that these public programs, as well as almost all private insurers, purchased health care. Fast forward to today. Propelled by an interest in budget predictability and federal policy changes giving them…

February 6, 2024

By

Andy Schneider

Blog

Georgetown CCF’s Tricia Brooks Appointed to MACPAC

We at Georgetown CCF are so thrilled to announce that today the Comptroller General of the United States and head of the U.S. Government Accountability Office (GAO) appointed Georgetown University Center for Children and Families Senior Fellow Tricia Brooks to the Medicaid and CHIP Payment and Access Commission (MACPAC). The Children’s Health Insurance Program Reauthorization Act of 2009…

May 20, 2019

By

Joan Alker

Blog

Supporting Caregivers Means Supporting Medicaid

In Partnership with While many mistakenly believe Medicare is the primary source of health coverage for home or nursing care over a long period, the reality is that Medicaid serves as the backbone of our country’s long-term care system. Medicaid is the primary source of funding for long-term care in the U.S., paying well over…

April 11, 2025

By

,

,

and

Choosing Premium Assistance What Does State Experience Tell Us

March 22, 2012

Blog

New Immigrant Eligibility Restrictions Coming to Federally-Funded Health Coverage

This time next year, an estimated 1.4 million lawfully present immigrants are expected to lose health coverage due to the Budget Reconciliation Law. The law restricts eligibility for federally funded health coverage to only a very narrow group of immigrants – lawful permanent residents (LPR, or green card holders), Cuban and Haitian entrants, and people…

October 1, 2025

By

Kelly Whitener

Blog

“Intentional Program Violations” (IPVs): Weaponizing Program Integrity to Undercut Medicaid Expansion

Last November, Utah voters passed an initiative calling for Medicaid expansion. Since then, Utah policymakers have been fighting a convoluted battle against covering low-income adults that has been chronicled by my colleagues Joan Alker, Adam Searing, and Kelly Whitener. The latest chapter in this saga is Utah’s “per capita cap” waiver, which is now before…

September 18, 2019

By

Andy Schneider

Blog

CMS Awards Over $49 Million to 36 Organizations in 20 States to Connect Kids, Parents, and Pregnant People to Coverage

The U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), recently awarded $49 million to 36 organizations in 20 states to provide enrollment and renewal assistance to children, their families, and pregnant people. These grants will allow a wide range of organizations, including state and local governments,…

July 29, 2022

Blog

HHS Selects 10 States to Participate in Medicaid Behavioral Health Clinic Demonstration

Today, the U.S. Department of Health and Human Services (HHS) announced 10 new states have been selected to participate in the Certified Community Behavioral Health Clinic Medicaid Demonstration – Alabama, Illinois, Indiana, Iowa, Kansas, Maine, New Hampshire, New Mexico, Rhode Island and Vermont. The Certified Community Behavioral Health Clinic (CCBHC) Medicaid Demonstration was created in…

June 4, 2024

By

Anne Dwyer

Presentations

Webinar: How Medicaid Supports Early Intervention for Infants and Toddlers with Disabilities and Developmental Delays

The Georgetown University Center for Children and Families, ZERO TO THREE, and IDEA Infant & Toddler Coordinators Association held a webinar Wednesday, April 2nd This webinar is free and open to the public. Why it matters: Medicaid is a key source of funding for IDEA Part C Early Intervention programs in most states. Early intervention…

April 3, 2025

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