Medicaid
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Proposed Rule Will Improve Medicaid Managed Care
After much anticipation, CMS published a notice of proposed rulemaking on Medicaid and CHIP managed care early this summer. The proposed rule includes many changes centering around five principles: alignment with other coverage options; delivery system reform; payment and accountability improvements; beneficiary protections; and modernizing regulatory requirements and improving the quality of care. It also…
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Coverage for Immigrant Children and Families in California
Now Playing: Coverage for more than 400,000 children and youth Coming Soon: Coverage for more than 800,000 additional immigrant children, youth and parents This week, Georgetown University’s Center for Children and Families and The Children’s Partnership released a new paper outlining how to get ready for big coverage opportunities in California. It highlights opportunities that will…
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Immigration Relief for Parents and Youth = Whole Family Health Coverage in California
On November 20, 2014, President Obama announced immigration executive actions that include a new program and an expansion of an existing program. The new program, “Deferred Action for Parents of Americans and Lawful Permanent Residents”(DAPA), provides temporary work authorization and protection from deportation for certain undocumented parents with U.S. citizen or lawful permanent resident (LPR)…
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Recommendations for Changes to the Child Core Set of Health Care Quality Measures
When CHIP was reauthorized in 2009, it laid out a new agenda for measuring and improving health care quality for children enrolled in Medicaid and CHIP. CHIPRA called for the development of a Child Core Set of Health Care Quality Measures (which states voluntarily report) and launched a new Pediatric Quality Measures Program that, among…
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State and National Experts Convene to Discuss Early Childhood Developmental Screenings and Referrals
By Carrie Fitzgerald, Vice President of Children’s Health Programs at First Focus, Here’s something almost everyone who reads this blog already knows: the first three years of a child’s life are a critical time for brain development. Our brains are most adaptable during early childhood, and early intervention and treatment for conditions, disorders, and developmental…
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Proposed Legislation Will Fix Medicaid Glitch for Former Foster Youth Who Move
I’ve written before about an unintended flaw in the Affordable Care Act that relates to Medicaid eligibility for former foster youth. The simple use of the words “the” versus “a” state has led to an interpretation of the law that allows states to deny coverage to young adults who were in foster care in a…
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Even Though it is Turning 50, Medicaid is Still a Children’s Program
Today marks 50 years since President Lyndon B. Johnson signed the Medicaid program into law in 1965. The program has continued to evolve since then – playing a key role in our health care system serving low-income families, people with disabilities, HIV, and those receiving long term care. The Affordable Care Act expanded Medicaid eligibility for…
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Medicaid Provides an Excellent Long-Term Return on Investment
By Alisa Chester and Joan Alker As our nation marks Medicaid’s 50th anniversary of service to the nation this week, it’s a good time to reflect on how this federal-state partnership program is making a difference – especially for children and families. As has been widely discussed, Medicaid has been instrumental to our nation’s historic…
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Medicaid at 50: A Look at the Long-Term Benefits of Childhood Medicaid
An emerging body of research underscores the significant role that Medicaid plays as a source of health coverage and financial protection for children and families—the benefits of which last through adulthood. New data highlight striking examples of the long-term effects of Medicaid—including better health, lower rates of mortality, better educational and economic outcomes, and many…
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Many Working Parents and Families in North Carolina Would Benefit from Medicaid Coverage
North Carolina is one of the 22 states that has elected not to accept federal funding under the ACA to extend Medicaid coverage to parents and other low-income adults. Consequently, parents in North Carolina are not eligible for Medicaid or premium tax credits if their incomes exceed 45 percent of the poverty line ($8,840 annually,…
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Congressional Hearing Highlights Medicaid’s Success After 50 Years, Looks Ahead
By Sean Miskell Last week, the House Energy and Commerce Committee held a hearing that provided an opportunity for lawmakers, administrators, and experts to acknowledge the foundational role that Medicaid plays as a source of coverage for millions of Americans and consider how the program will continue to evolve moving forward. Testimony from the Centers…
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Groups: CMS Should Reject Iowa’s Request to Continue Waiving Non-emergency Medical Transportation Benefits
This week, the Center on Budget and Policy Priorities, CCF and 10 other organizations submitted a comment letter regarding Iowa’s proposed section 1115 amendment to extend their waiver of the non-emergency medical transportation (NEMT) benefit. While we continue to support Iowa’s decision to provide coverage to newly eligible low-income adults, we hope that CMS will…
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Video Highlights of Joan Alker’s Testimony Before Congressional Committee on Medicaid Waivers
As loyal Say Ahhh! readers know, Joan Alker has been a devout Medicaid Section 1115 “waiver watcher” for many, many years. She was happy to share her knowledge on the topic with the House Energy and Commerce Subcommittee on Health this week. We’ll have more to say about the issues covered by the hearing in…
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King, Access to Care, Alternative Plans – States Running Out of Excuses for Failing to Act on Medicaid
The message from the Supreme Court’s King v. Burwell case yesterday was pretty simple for people interested in following the Medicaid expansion debate in the states. Now that it’s clear access to affordable coverage is here to stay for people above the poverty line, states that haven’t taken the Affordable Care Act’s Medicaid funding to extend…
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Florida Governor Scott Drops LIP Lawsuit, Declares Victory???
Acting right on the heels of the historic decision affirming the Affordable Care Act in King v. Burwell, Florida Governor Rick Scott withdrew his lawsuit against the Obama Administration on the state’s Low Income Pool. That was a wise decision in my view, as the suit had no merit (in my purely non-legal opinion). But…
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Testimony Before House Energy & Commerce Subcommittee on Health Regarding Medicaid Demonstration Waivers
CCF Executive Director Joan Alker’s testimony before the U.S. House of Representatives Committee on Energy and Commerce Subcommittee on Health hearing entitled “Examining the Administration’s Approval of Medicaid Demonstration Projects.” A video of her testimony is also available here.
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Time to Celebrate! California Will Provide Health Coverage for All Kids, Regardless of Immigration Status
It is now time to uncork the champagne and celebrate! California’s Governor, Jerry Brown, signed a budget that includes health coverage for all low-income children, regardless of immigration status today. Under the signed budget, California will provide coverage for allow-income children regardless of immigration status. Coverage would begin in May 2016. The expansion is projected…
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First Peek at Health Coverage Rates Post-ACA: Uninsurance Drop in 2014
Hot off the press! Today we get our first look at annual insurance coverage data from the Centers for Disease Control (CDC) for 2014 and the results are in: fewer people were uninsured in 2014—the first year of full ACA implementation— than 2013. Children and adults in Medicaid expansion states had lower rates of uninsurance.…
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California Moving Toward Health Coverage for All Kids, Regardless of Immigration Status
While I was in Oakland, California meeting with child health advocates on Tuesday, we received great news about a big step forward for kids (no, it was not that the Oakland Warriors won the NBA playoffs!). State legislative leaders and the Governor announced a budget agreement that included a commitment to expand health coverage to…
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California Moves to Cover All Children Regardless of Immigration Status Lessons From County Programs Paved the Way
By Gene Lewit On Tuesday in California, legislative leaders and the Governor agreed on a 2015-16 budget bill that would allow all otherwise-eligible children to enroll in the state’s Medicaid program, regardless of their immigration status. The agreement includes $40 million in funding for children’s coverage that would begin in May 2016. An estimated 170,000…
