In the beginning, there was fee-for-service (FFS). In this case, the beginning was 1965, when Medicaid (and Medicare) were enacted. FFS was the way that these public programs, as well as almost all private insurers, purchased health care. Fast forward to today. Propelled by an interest in budget predictability and federal policy changes giving them […]
As of January 1, 2024, all states are required to provide 12 months of continuous health coverage for children in Medicaid and the Children’s Health Insurance Program (CHIP). This reduces the risk of eligible children losing coverage due to administrative barriers or temporary fluctuations in family income. In 2022, Oregon became the first state approved […]
Last week, MACPAC Commissioners voted to recommend that the Centers for Medicare & Medicaid Services post all state Managed Care Program Annual Reports (MCPARs) to the CMS website. The vote was unanimous: 17-0. The recommendation will be included in MACPAC’s March 2024 Report to Congress. At first glance, this may seem unremarkable, but on further […]
The Georgetown University Center for Children and Families submitted the following comments to the Centers for Medicare & Medicaid Services regarding the interim final rule on CMS enforcement of state compliance with reporting and federal Medicaid renewal requirements under Section 1902(tt) of the Social Security Act (CMS- 2447). Read the Comments
For some good news to start 2024, the gains for community health workers (CHWs) in the Medicaid world continue to increase. We’ve written about the value of Medicaid as a sustainable funding source for CHW services and growing efforts in states previously here on Say Ahhh!…but wait, there’s more! Michigan has integrated CHWs in targeted […]
Although ex parte was hardly a household term before the unwinding of the Medicaid continuous enrollment requirement, most stakeholders and observers are now aware of the critical role automating renewals using data available to the state can play in reducing churn and promoting continuity of coverage in Medicaid and CHIP. The policy not only removes […]
