Quality & Access to Care
Executive Summary While the Centers for Medicare & Medicaid Services (CMS) has overseen the steady growth in Medicaid coverage over recent years, CMS has faced the additional challenges of ensuring that coverage truly leads to meaningful access to care and that there is strong oversight. CMS recently finalized two key regulations: “Ensuring Access to Medicaid […]
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 […]
By Aubrianna Osorio and Emma Ford, CCF Graduate Research Intern Wondering how many children with Medicaid/CHIP coverage are getting their recommended well-care visits or developmental screenings? What about follow-ups for new medications, or dental sealants? Curious about how many women had a low-risk Cesarean section delivery or a prenatal or postpartum visit? Then check out […]
Today the Biden Administration announced the final federal regulation “Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes” which, among other things, eliminates outdated red tape barriers to coverage for children insured through the Children’s Health Insurance Program (CHIP) that have been in place since its […]
By Michael Atkins, The Arc of the United States Medicaid is the nation’s primary health insurance for people with disabilities, covering over ten million people with disabilities under the age of 65. For many people with intellectual and developmental disabilities (IDD), Medicaid provides even more than insurance – it’s a lifeline. Millions of people with […]
Yesterday, CMS released its Notice of Proposed Rulemaking (NPRM) on the Child Core Set of Health Care Quality Measures in Medicaid and CHIP (known as the child core set). The proposed rule will implement the mandatory reporting of the child core set in 2024 as required by the Bipartisan Budget Act of 2018. The NPRM, […]
