State Health Updates
State updates as of February 16, 2024.
State updates as of February 16, 2024.
State updates as of February 9, 2024.
In late 2022, Congress enacted section 5112 of the Consolidated Appropriations Act, 2023 (CAA), requiring states to provide children under age 19 determined eligible for Medicaid or the Children’s Health Insurance Program (CHIP) with 12 months of continuous enrollment (CE) effective January 1, 2024. To support states in implementing CE, the Centers for Medicare & Medicaid Services issued sub-regulatory guidance expanding on the CAA’s new requirement. This Q&A is intended to serve as an added resource for states as they newly take up CE for children or modify existing CE policies to meet the CAA requirement. As noted, some issues remain open pending further CMS guidance.
State updates as of January 19, 2024.
State updates as of January 12, 2024.
State updates as of December 8, 2023.
On December 6, the Centers for Medicare & Medicaid Services published and made effective an interim final rule (IFR) with comment period regarding states’ ongoing unwinding efforts to redetermine eligibility for all Medicaid enrollees nationwide. This expert perspective summarizes the IFR, which interprets and implements the state reporting requirements and CMS enforcement authorities that Congress enacted last winter in the Consolidated Appropriations Act of 2023.
State updates as of December 1, 2023.
This expert perspective summarizes CMS’ new Informational Bulletin and accompanying framework which together detail Medicaid coverage options for services that address the health-related social needs (HRSN) of Medicaid enrollees. The new guidance reiterates the importance of addressing HRSNs to improve access to care and health outcomes, and summarizes (and in some cases updates) multiple previous sources of CMS guidance on how HRSN services may be covered in Medicaid, including guidance on in lieu of services authority and on HRSN coverage in section 1115 waivers.
This expert perspective provides insights on the temporary section 1902(e)(14) waiver flexibilities that may be valuable for the Centers for Medicare & Medicaid Services to consider extending or authorizing permanently to streamline and improve post-unwinding renewal processes. An informal and anonymous survey conducted by State Health and Value Strategies (SHVS) asked states to rate the value of these flexibilities during unwinding and their level of interest in making flexibilities permanent. Findings are not representative of all states and should be interpreted with caution.