On January 27, 2023, the Centers for Medicare & Medicaid Services released a State Health Official (SHO) letter, “Medicaid Continuous Enrollment Condition Changes, Conditions for Receiving the FFCRA Temporary FMAP Increase, Reporting Requirements, and Enforcement Provisions in the Consolidated Appropriations Act, 2023.” The SHO letter is the second in a series of guidance related to section 5131 of the Consolidated Appropriations Act, 2023 (CAA), which established a fixed end date for the Medicaid continuous coverage requirement, a gradual phase-down for the enhanced federal match, and new guardrails for mitigating coverage loss for individuals who continue to be eligible. This expert perspective reviews the additional detail and operational expectations of states during the unwinding of Medicaid continuous coverage as laid out in the SHO letter.
1332 State Innovation Waivers: Lessons Learned from the Basic Health Program
Manatt Health Solutions
The State Network 1332 Waivers Affinity Group webinar series continued with a new presentation from the team at Manatt Health Solutions. This webinar focused on funding issues, and dove into the mechanics of repurposing existing federal subsidies under a different coverage affordability model. This ongoing series has included presentations providing an overview of the basics around these waivers, including statutory guardrails, discussions on what can and cannot be waived, potential opportunities available to states through the waiver process, and potential coordination between 1332 and 1115 waivers. Prior installments of this webinar series are available in the State Network 1332 Waivers Resource Library.