Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for the Unwinding of the Pandemic-Era Continuous Enrollment Provision

Executive Summary In the third year of the COVID-19 public health emergency (PHE), Medicaid enrollment continued to increase albeit at a slower pace than in the first two years of the coronavirus pandemic. Since March 2020, states have provided continuous enrollment in Medicaid in exchange for enhanced federal funding. This continuous enrollment provision and enhanced […]

Medicaid and CHIP Drug Rebate Proposals in the Biden Administration’s Fiscal Year 2024 Budget

Under the highly effective Medicaid Drug Rebate Program (MDRP), drug manufacturers must provide substantial rebates to the federal government and states as a condition of having their drugs covered by Medicaid.  For brand-name drugs, the rebates apply to  both fee-for-service and Medicaid managed care and consist of two mandatory components.  First, under a basic rebate, […]

Unwinding Wednesday #15: Congress Proposes to End Medicaid Continuous Coverage Protection in Early 2023; Adds Transparency and Accountability Requirements

        [Editor’s Note: The bipartisan spending plan was approved by Congress and signed into law by the President on December 29, 2022. Read CCF’s brief to learn more.] The text of the omnibus spending plan released by Congress would allow states to resume Medicaid disenrollments after the end of the first quarter […]