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.
COVID-19 Resources for States
State Health and Value Strategies (SHVS), in partnership with Manatt Health, Georgetown’s Center on Health Insurance Reforms (CHIR), State Health Access Data Assistance Center (SHADAC), Bailit Health, and GMMB developed this resource page to serve as an accessible “one-stop” source of COVID-19 information for states. This resource is designed to support states seeking to make coverage and essential services available to all of their residents, especially high risk and vulnerable people, during the COVID-19 pandemic. SHVS will update this page frequently with new resources as they become available.
|If you have materials you are willing to share with other states through this page, or if there are topics of particular concern that you would like addressed, please contact SHVS.|
Please click on the links below to access topic-specific resources.
(e.g., tracking dashboards, equity task forces)
|Reopening/Recovery||COVID-19 Testing and Care
(e.g., coverage and access, provider and plan reimbursement)
(e.g. equitable disbursement, payment issues, communications strategies)
|Medicaid Coverage and Access
(e.g., eligibility and enrollment (including appeals), benefits and cost-sharing (prior authorization, refills))
|Health System Considerations
(e.g. Telehealth/Telemedicine, Providers and Workforce, Substance Use Disorder & Mental Health)
|Commercial Insurance Coverage and Access
(e.g. individual market coverage, regulatory options, surprise billing, Employee Retirement Income Security Act (ERISA) flexibilities)
|Funding and Coverage for the Uninsured||Social Risk Factors and COVID-19
(e.g., housing, food insecurity, justice-involved individuals, interpersonal violence)
|Home and Community-Based Services (HCBS) and Long-Term Care (LTC)|
|Federal Authorities and Funding Opportunities
(i.e., Section 1135 Waivers, Section 1115 Waivers, 1915(c) Waiver Appendix K, Medicaid State Plan Amendments (SPAs))
(e.g. messaging and communications strategies for COVID-19 response, best practices across agencies, leveraging digital platforms)