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Webinars

On Wednesday, February 26, State Health and Value Strategies will host a webinar discussing the Medicaid and Marketplace reforms under consideration by the new administration and the 119th Congress, including adjustments to program financing, eligibility, and other policy requirements, with potential broad implications for state Medicaid and Marketplace programs. During the webinar, experts from Manatt Health will provide an overview of potential federal policy changes to Medicaid and Marketplace coverage programs, vehicles for advancing and anticipated timing of such changes, and implications for states.

Date Created: Feb 13, 2025


Issue Briefs

The Centers for Medicare & Medicaid Services issued a rule in April 2024 requiring states to establish a Medicaid Beneficiary Advisory Council (BAC) by July 2025 to provide states with guidance on the program from people with lived experience. This issue brief offers recommendations for states developing BACs, drawing on insights from people with Medicaid experience who have served on existing Medicaid committees.

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Date Created: Feb 10, 2025


Templates & Toolkits

Medicaid Beneficiary Advisory Councils (BACs) are an important mechanism by which states can implement transformational community engagement within their Medicaid programs. The process of publicly and transparently documenting and reporting BAC activities is key to building trusted relationships, as well as documenting and measuring success of this group. States can customize the content of these materials, which include data collection templates for: BAC member composition, BAC meeting data, BAC discussion topics, BAC recommendations, and BAC member engagement.

Date Created: Jan 21, 2025


Templates & Toolkits

This toolkit is intended to support states in planning for implementation of provisions in the Medicaid Program: Ensuring Access to Medicaid Services final rule to establish a Beneficiary Advisory Council (BAC) and Medicaid Advisory Committee. States may use the Toolkit to inform the development of a governance model for the BAC, identify key steps and timelines for implementation and assign roles and responsibilities for state staff implementing the BAC.

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Date Created: Dec 13, 2024


Templates & Toolkits

This toolkit is intended to support states in leveraging 12-month and multi-year continuous enrollment (CE) for Medicaid/Children’s Health Insurance Program (CHIP)-eligible children and youth to promote access to care, ensure delivery of critical preventive and behavioral health services, and monitor child health outcomes in partnership with key stakeholders. States may use this toolkit to inform planning related to implementation of CE policies; adoption of alternative payment models to encourage providers to embrace innovative pediatric care delivery practices; and development of an oversight and quality improvement strategy to promote improved health and wellbeing outcomes for young children.

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Date Created: Dec 5, 2024


Issue Briefs

The Ensuring Access to Medicaid Services final rule requires states to create and support a Beneficiary Advisory Council (BAC) as well as a Medicaid Advisory Committee (MAC), which together are intended to create a more formalized way for enrollees and interested parties to provide bidirectional feedback to the state about the Medicaid program. This issue brief, revised as of November 2024, offers considerations for determining how to fairly compensate BAC members for their time and expertise without adversely affecting their eligibility for Medicaid.

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Date Created: Nov 22, 2024


State Materials

Password protected resource page for members of the Member Engagement Leaders’ Support Group.

Date Created: Nov 21, 2024


Templates & Toolkits

Under the Ensuring Access to Medicaid Services final rule, state Medicaid agencies will need to create and support a Beneficiary Advisory Council (BAC) and Medicaid Advisory Committee (MAC) by July 2025, with some requirements phased-in over a longer time period. These template materials are designed to support state agencies in recruiting members for the BAC. States can customize the content of the materials, which include a recruitment flyer, template social media graphics, core messages, website copy, and newsletter copy.

Date Created: Nov 18, 2024


Webinars

On Thursday, November 7, State Health and Value Strategies hosted a webinar highlighting the ways states are addressing enrollees’ health-related social needs (HRSNs) through their Medicaid managed care programs and contracts. During the webinar, experts from Bailit Health showcased recent updates to the SHVS Addressing Health-Related Social Needs Through Medicaid Managed Care toolkit, highlighted state approaches to require and/or incentivize Medicaid plans to address HRSNs, and facilitated a discussion with state Medicaid officials.

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Click here for webinar recording

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Date Created: Nov 7, 2024


State Spotlights

In an innovative, first-of-its kind approach, North Carolina is tackling the issue of medical debt through a comprehensive initiative that pairs immediate relief with long-term reform. By leveraging federal funding through the Medicaid program, hospitals are incentivized to cancel existing medical debt—up to $4 billion for approximately two million low-income North Carolinians—and enact a series of policies to prevent the future accumulation of medical debt. This state spotlight provides an overview of North Carolina’s medical debt relief incentive program, underscores the unique efforts of the state to achieve buy-in from stakeholders, and highlights the opportunity as a model for other states.

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Date Created: Nov 1, 2024