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.
Experiences Implementing Social Risk Factor Screening Measures in Medicaid
On Tuesday, June 14, State Health and Value Strategies hosted a webinar that featured state officials and Medicaid managed care entities from Rhode Island and Massachusetts who shared their experiences implementing social risk factor screening measurement.
The webinar aimed to bring together those in states who have implemented social risk factor screening measures for incentive use in managed care contracts. States use these social risk factor screening measures to hold plans and provider entities accountable for identifying Medicaid members affected by risk factors, such as homelessness and food insecurity. Consequently, members can be connected to appropriate services and resources to reduce their risk, improve their health and ultimately, reduce healthcare spending. During the webinar, Bailit Health provided a brief overview of state Medicaid agencies that have implemented social risk factor screening.