Medicaid
has transformed health care for low-income families and individuals, especially children, pregnant mothers, parents and children with disabilities and special health care needs.
California’s Medicaid Managed Care Waiver: New Potential for Access and Transparency
One of the most significant Medicaid managed care developments in 2021 happened on December 29, when CMS approved federal funding and waivers for California’s reform initiative, Advancing Innovation in Medi-Cal (CalAIM). The approval involved two sets of waivers, one operating under section 1115 of the Social Security Act, the other under section 1915(b)(4). For good […]
Secretary Becerra Extends the PHE: What Does This Mean for Medicaid and the Continuous Enrollment Provision?
Earlier today, HHS Secretary Becerra renewed the COVID-related public health emergency (PHE). The latest extension will expire on April 16, 2022. By law, public health emergencies are declared in 90-day increments. The current PHE ends January 16, 2022, so a 90-day extension takes us to April 16, 2022. A PHE can be extended as many […]
Biden Administration Says No to Premiums in Medicaid
Just before the end of the year, the Biden Administration took an important stand protecting people enrolled in Medicaid. Three states (AR, GA, and MT) received news from CMS the week before Christmas on section 1115 Medicaid waiver requests of various kinds – but with one common element – that their plans to charge premiums […]
Research Update: New Urban Institute Report Highlights Pandemic-Related Barriers to Health Care Among Low-Income Parents
Parents’ lack of health insurance coverage and access to health services can reduce children’s access to care and harm their families’ broader financial health. This is why the Urban Institute’s new report on coverage, access, overall health, and ability to meet family financial needs among parents at different income levels after the first year of […]
CMS Releases Guidance on New Medicaid Mobile Crisis Services Option
The Centers for Medicare & Medicaid Services kept busy over the holidays with the release of new guidance to states on the American Rescue Plan Act’s new Medicaid state option to provide qualifying community-based mobile crisis intervention services. As discussed here on Say Ahhh!, ARPA included a provision allowing state Medicaid programs to provide community-based […]
Texas Medicaid Section 1115 Waiver Drama: A Trilogy
The world of Section 1115 Medicaid waivers can be mysterious and weedy, arcane and annoying, boring and, at times, dramatic. And in recent years, the use of Section 1115 authority by the Trump Administration stretched all previously known boundaries and wound up in court on multiple occasions – most famously in the Arkansas work requirements […]