We at Georgetown CCF have been poring over CMS’s new EPSDT state health official (SHO) letter. Naturally, we do have some favorite points and analysis we will continue to highlight through this series on Say Ahhh!!! Today’s topic: The importance of state agency oversight of Medicaid managed care organizations, which the SHO refers to as […]
Last week CMS announced plans to replace the technology and processes used to coordinate eligibility and enrollment through electronic accounts between the federal marketplace (healthcare.gov) and states that use the federal platform. The account transfer (AT) process, although riddled with glitches, has been in place since the Affordable Care Act’s coverage expansions began in 2014. […]
Last month, the Urban Institute released a report detailing uninsurance rates between 2019 and 2022 for families with young children (under age 3). The report revealed significant drops—for the children, for fathers, and most significantly, for mothers. There were multiple factors contributing to these rises in coverage rates—pandemic-era continuous enrollment policies such as the Families […]
Last month, CMS released a state health official (SHO) letter outlining the requirements states and managed care plans must meet under Medicaid’s pediatric benefit, known as Early and Periodic Screening, Diagnostic and Treatment or EPSDT. The EPSDT SHO also describes some strategies and identifies best practices currently in use by states to meet the various […]
Check out your state’s numbers on our state data hub. Every year we look closely at the U.S. Census Bureau’s American Community Survey health insurance coverage data to see what is happening to coverage rates overall and especially for children. The data, which are released in early September, reflect survey responses collected in the prior […]
The final Managed Care and Access Rules, released in the spring, included new regulations for Medicaid Advisory Committees, which many states currently refer to as Medical Care Advisory Committees. These are groups intended to support communication and collaboration between state agencies, people enrolled in Medicaid, service providers, and other stakeholders. The new regulations broaden the scope of […]
