Medicaid – Page 16 – Center For Children and Families

Updated List of Flexibilities Highlight Variety of Approaches States Are Taking to Promote Continuity of Coverage During the Unwinding

To meet the unprecedented moment of the unwinding of the Medicaid continuous coverage protection, states have implemented a range of innovative policies to make the renewal process smoother for enrollees as well as state eligibility workers. One tool that states have increasingly used is Section 1902(e)(14)(A) waivers, or “e14s,” which we have written about previously […]

Allexa Gardner

November 1, 2023

Response to American Academy of Pediatrics New Policy Statement

The following is a statement by Joan Alker, Executive Director of the Center for Children and Families at Georgetown University’s McCourt School of Public Policy in response to American Academy of Pediatrics New Policy Statement: “I applaud the new policy statement by the American Academy of Pediatrics outlining the direction that Medicaid and the Children’s Health Insurance […]

Joan Alker

October 20, 2023

Medicaid Managed Care: Transparency of Performance on Maternal Health

Our nation is in the midst of an ongoing maternal health crisis, one that particularly affects Black women. The causes are complex, the need to address them is urgent, and there is no single solution. One of many potential solutions that has not received enough attention is Medicaid managed care. Medicaid, the nation’s largest health […]

Andy Schneider, Tanesha Mondestin, Ella Mathews October 16, 2023

Medicaid Managed Care, Maternal Mortality Review Committees, and Maternal Health: A 12-State Scan

Download the Full Report Introduction The United States is in the midst of an ongoing maternal mortality crisis and Medicaid, the health insurer for low-income Americans, has an important role to play in addressing it. Medicaid is the nation’s single largest maternity care insurer, paying for more than 40% of all births on average across all states, […]

Andy Schneider, Tanesha Mondestin, Ella Mathews, Eni Akinniyi October 16, 2023

CMS Makes the Right Call on Utah’s Medicaid Waiver: Where Do Things Stand on Postpartum Coverage?

In a little-noticed but important action, CMS recently notified the Utah Medicaid agency that it should proceed with extending postpartum coverage from 60 days to 12 months under the state plan amendment (SPA) option rather than continuing to pursue its Section 1115 waiver request. At first blush, this seems like a distinction only the most […]

Joan Alker, Andy Schneider October 13, 2023

How Did We Get Here? A Recent Legislative History of Medicaid Managed Care

Just over 25 years ago, Congress enacted a major change in federal policy on Medicaid managed care. It eliminated the 75/25 rule—the requirement that no more than 75 percent of the enrollees in a Medicaid managed care organization (MCO) could be Medicaid or Medicare beneficiaries. The logic of the rule was that if an MCO […]

Andy Schneider

October 11, 2023