The Deferred Action for Childhood Arrivals (DACA) policy continues to come under legal attack despite more than ten years of proven success – helping people who arrived in the US as children graduate from high school, go to college, and start their families and careers here. There are more than 500,000 DACA recipients (and many […]
By Georgetown University Center on Health Insurance Reforms Faculty Health insurers’ use of prior authorization – a medical management tool requiring providers to seek the insurer’s approval before their patient receives a healthcare item or service – appears to be on the rise. While providers and patients raise concerns that prior authorization can inhibit patient […]
The Centers for Medicare & medicaid Services (CMS) recently released new Medicaid managed care regulations that update CMS policy on State Directed Payments (SDP). In this blog we’ll cover what SDPs are, how they can be used to improve access to care, and some changes in how CMS will allow and regulate them. You can […]
Highlights of the 2024 Survey of Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies, conducted by KFF and Georgetown CCF, were presented in a webinar today featuring federal and state officials from North Carolina and Ohio. This marks the 22nd annual report on state policies for eligibility, enrollment, and renewal processes, which this year includes […]
Executive Summary In early 2023, states began final preparations for the end of the pandemic-related Medicaid continuous enrollment provision following passage of the Consolidated Appropriations Act (CAA) of 2023, which lifted the requirement effective March 31, 2023. During the three-year pause on Medicaid disenrollments, Medicaid and CHIP enrollment grew by 32% from 71.3 million to […]
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 […]
