When the Families First Coronavirus Response Act Medicaid “continuous coverage” requirement is discontinued states will restart eligibility redeterminations, and millions of Medicaid enrollees will be at risk of losing their coverage. A lack of publicly available data on Medicaid enrollment, renewal, and disenrollment makes it difficult to understand exactly who is losing Medicaid coverage and for what reasons. Publishing timely data in an easy-to-digest, visually appealing way would help improve the transparency, accountability, and equity of the Medicaid program. This expert perspective lays out a set of priority measures that states can incorporate over time into a data dashboard to track Medicaid enrollment following the end of the continuous coverage requirement. For a detailed discussion of the current status of Medicaid enrollment and retention data collection and best practices when developing a data dashboard to display this type of information, SHVS has published a companion issue brief.
Advance Premium Tax Credits and Cost-Sharing Reductions: A Primer for Assistors
Manatt Health Solutions
Advance Premium Tax Credits (APTCs) and Cost-Sharing Reductions (CSRs) remain critical to the ability of marketplaces to offer affordable coverage. It is especially important that marketplace staff, eligibility workers, navigators, certified application counselors, and other assistors are well-informed regarding the role of APTCs and CSRs in the continuum of coverage created by the Affordable Care Act. While there are numerous regulations explaining how APTCs and CSRs work, much of this information is very technical. This brief, prepared by Manatt Health Solutions, is designed to make it easier to understand APTCs and CSRs at a deeper level. Information provided in this brief includes eligibility criteria, options for using APTCs and a discussion on how the APTC is calculated, and a detailed review of the income measure used to evaluate eligibility.