Analyzing the Impact of Potential Medicaid Cuts: A Toolkit for States
Congress is considering significant cuts to Medicaid as part of the legislative process—called “budget reconciliation”—being used to advance President Trump’s key legislative priorities. To support states in informing and validating their own fiscal and program impact estimates of federal policy changes, Manatt Health has developed, with support and input from State Health and Value Strategies, a new toolkit providing national and state-by-state data on the potential impact of key cuts under consideration in Congress. The toolkit is designed to help state officials prepare or review their own estimates and to offer estimates to states not undertaking their own analyses.
Regulating Financialization in the Healthcare System: A Toolkit for States
This toolkit is intended to support states in understanding the landscape of financial activity in the healthcare sector. It identifies opportunities to strengthen a state’s regulatory framework to protect residents from the potential harms associated with financialization. The toolkit provides an overview of trends and a summary of the literature on the impact of financialization on the healthcare delivery system.
Medicaid Beneficiary Advisory Council Reporting Toolkit
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.
Beneficiary Advisory Council State Toolkit: Establishing a Governance Process
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.
The Role of Medicaid Continuous Enrollment in Improving Children’s Health and Wellbeing: State Toolkit
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.
Recruiting for the BAC: Template Materials
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.
Addressing Health-Related Social Needs Through Medicaid Managed Care
States are increasingly leveraging their Medicaid programs to transform healthcare delivery and improve individual and population health with a focus on addressing health-related social needs (HRSN). This toolkit identifies examples of approaches states are taking through their Medicaid managed care programs to address HRSN. States interested in implementing specific strategies to identify and address HRSN can use this toolkit to develop managed care procurements or update and operationalize key contract provisions.
Reaching DACA Recipients: Resources to Support State Outreach and Education to Drive Healthcare Enrollment
Starting November 1, 2024, people who receive Deferred Action for Childhood Arrivals (DACA) status will be eligible to enroll in coverage through health insurance Marketplaces under a new policy issued by the U.S. Department of Health and Human Services. To inform state strategies to best reach and educate newly eligible DACA recipients about their eligibility, SHVS created a toolkit for reaching the DACA population based on existing research, with outreach strategies and template materials to raise awareness and promote enrollment.
Communicating the BAC and MAC: Template Explainer Slides
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. This template slide deck is designed to support state agencies in communicating internally about the BAC and MAC and provides a high-level summary of the function, objectives, composition, and outcomes of the new advisory groups. States can customize the content of this template deck to reflect their unique contexts and priorities.
Providing Multi-Year Continuous Enrollment to Medicaid and CHIP Populations: State Toolkit
This state toolkit is intended to support decision-making in states interested in, actively pursuing, or implementing section 1115 demonstrations to provide continuous enrollment (CE) to Medicaid and CHIP populations, with a focus on multi-year CE for young children. The toolkit describes evidence supporting CE policies; considerations for specific populations; estimating multi-year CE costs; and demonstration evaluation and monitoring requirements.