The unwinding related section 1902(e)(14) strategies newly available to Medicaid and CHIP agencies can provide significant relief to states facing pending eligibility and enrollment actions and processing delays, workforce and systems limitations, and other operational challenges. Ensuring eligible individuals do not lose coverage for procedural or administrative reasons and supporting those who are ineligible for Medicaid/CHIP transition to Marketplace coverage will be paramount for all states as they begin to resume normal operations when the federal public health emergency (PHE) ends. This expert perspective outlines the time-limited targeted enrollment flexibilities that CMS has availed to states through section 1902(e)(14) waiver authority and discusses considerations beyond the strategies described in federal guidance and supplemental resources.
All-Payer Claims Database Small Group Convening
The State Network hosted a APCD Small Group Convening on January 23-24, 2014 in New Orleans, LA.
The State Network hosted a Small Group Convening in New Orleans, LA on January 23-24, 2014, bringing together state officials and technical experts to discuss All-Payer Claims Databases and rate review. The agenda can be found here and selected presentations and resources from the meeting are compiled and listed by session below.
Colorado – Colorado APCD
Maine – Health Cost
Massachusetts – My Health Options
Massachusetts – Description of Massachusetts APCD data elements for risk adjustment in the HHS Notice of Benefit and Payment Parameters for 2014
North Carolina – Rate Filing Template
Oregon – Recommendations for Aligning ACA Implementation with Oregon’s Health System Reform – see specifically page 12 for information on transparency, rate review, and measurement dashboard.