Meetings & Presentations | Apr 3, 2023

Ensuring Compliance with Federal Renewal Requirements

Patricia Boozang, Kinda Serafi and Kaylee O’Connor, Manatt Health

The recently enacted Consolidated Appropriations Act, 2023 (CAA) provides enhanced federal funding to states to support unwinding, provided that they conduct eligibility redeterminations and renewals in compliance with federal regulatory requirements at 42 CFR § 435.916 and meet certain additional conditions. States that are not able to fully comply with federal regulatory renewal requirements may still access the enhanced federal match and/or avoid corrective action by adopting Centers for Medicare & Medicaid Services (CMS)-approved mitigation strategies.

State Health and Value Strategies hosted a working session for state officials responsible for unwinding the Medicaid continuous coverage guarantee, or for operationalizing, refining, and overseeing E&E processes, including redeterminations/renewals and systems changes. During the session, presenters (1) provided a brief overview of this diagnostic assessment tool that states can use to assess compliance with federal renewal requirements, (2) discussed common mitigation areas, such as the inability to conduct ex parte renewals for non-Modified Adjusted Gross Income (non-MAGI) enrollees, or no online renewal capabilities, and (3) offered mitigation strategies to correct non-compliance and promote continuity of coverage and care during the unwinding.


Expert Perspectives

November 22, 2024

Information Sharing Considerations for Implementing the Consolidated Appropriations Act’s Requirements for Justice-Involved Children and Youth

This expert perspective reviews the information sharing considerations for states in implementing the Consolidated Appropriations Act’s (CAA) requirements to provide targeted case management and screening and diagnostic services for children and youth who are incarcerated and enrolled in Medicaid or CHIP. The expert perspective highlights key areas of CAA implementation that require information sharing, which states will need to consider as they work towards coming into full compliance.

November 15, 2024

CMS Releases Guidance on Optional Long-Term Use of Unwinding-Related Section 1902(e)(14) Waivers

On November 14, 2024, CMS released its second installment in its series of Medicaid and CHIP guidance intended to support state efforts to verify eligibility and conduct renewals in compliance with federal Medicaid and CHIP requirements. A new expert perspective summarizes the latest CMCS Informational Bulletin and accompanying slide deck which address the continued use of unwinding-related section 1902(e)(14) waivers beyond the previously established expiration date of June 30, 2025.