In looking again at the “cats and dogs regulations” released in July, I see that CMS has removed any ambiguity about providing Medicaid and CHIP notices electronically. The health care law directs states to provide consumers with the option to receive notices in a secure, electronic format in lieu of written notices by regular mail. […]
Sounds a bit like a cousin of everyone’s favorite dinosaur – the T-Rex – but there’s nothing extinct about the new T-MSIS or HHS’ transformed Medicaid Statistical Information System. In fact, it’s HHS’ effort to have robust, timely and accurate data to ensure that Medicaid and CHIP achieve the highest standards of program performance by […]
Each year, one-third of the states undergo payment error rate measurement (PERM) in Medicaid and CHIP, and all states must annually demonstrate the accuracy of their Medicaid eligibility determination process under the Medicaid Eligibility Quality Control (MEQC) program. However, the Affordable Care Act calls for significant changes to Medicaid and CHIP eligibility regardless of whether […]
Most of the attention on IT development has been focused on eligibility and enrollment systems, those customer-facing websites and online applications that collect data from the applicant and other electronic sources to determine eligibility. But behind the scenes, Medicaid Management Information Systems (MMIS) support the “backend” administrative functions such as provider enrollment, prior authorization, medical […]
Over the past several years, I have had the pleasure of participating as a technical assistance faculty member for Maximizing Enrollment, a national program of the Robert Wood Johnson Foundation with technical assistance and direction provided by the National Academy of State Health Policy. The program works intensively with eight states to (as the name […]
Working in the weeds of health policy, it’s easy to get bogged down in the minutiae of the health care law. And in the media, we are constantly bombarded with the aspects of the law that are most controversial or problematic. So sometimes we lose perspective (I know I do) as we seek perfection in […]
