Eligibility & Enrollment

Wondering what’s in the recent Medicaid and CHIP eligibility and enrollment rule?

On April 2, 2024, the Centers for Medicare & Medicaid Services (CMS) 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). The rule eliminates certain access barriers for children enrolled in CHIP; makes transitions […]

Federal Poverty Levels Rise 4.1 Percent on Average

HHS has released the 2024 federal poverty levels (FPLs) that will be used for means-tested public benefits, including Medicaid and CHIP. This means the annual poverty level for a family of three has increased to $25,820 up from $24,860 in 2023. The poverty level for an individual has increased from $14,580 to $15,060. It’s important […]

Transitional Medical Assistance (TMA) and the Unwinding

Late last month, CMS released long-awaited guidance on Medicaid coverage for low-income working parents in the context of the unwinding of continuous coverage. Technically, this coverage is a mandatory eligibility category known as transitional medical assistance, or TMA, because it was originally designed to help parents transition from Medicaid to private insurance coverage through the […]

Report Finds Child Uninsured Rate Improved in 2022, Warns Progress Under Threat as Eligible Children Lose Coverage During Medicaid Unwinding

This week we were joined by Stacey Pogue, a senior policy analyst with Every Texan and Dr. Valerie Borum Smith, a pediatrician and President-Elect of the Texas Society of Pediatricians to release our annual report on child health coverage trends. Our report showed the number of uninsured children declined in 2022 to one of the […]