Regulatory Analysis | May 12, 2023

Federal Declarations and Flexibilities Supporting Medicaid and CHIP COVID-19 Response Efforts Effective and End Dates

Manatt Health

To help states respond to the ongoing COVID-19 pandemic, the White House, the U.S. Department of Health and Human Services, and the Centers for Medicare and Medicaid Services have invoked their emergency powers to authorize temporary flexibilities in Medicaid and the Children’s Health Insurance Program. Congress’s legislative relief packages have provided additional federal support for state Medicaid programs, subject to certain conditions. The timeframes for these emergency measures are summarized in the chart, including the effective dates and expiration timelines dictated by law or agency guidance.

This SHVS product has been updated to reflect the expiration of the PHE at the end of the day on May 11, 2023 and related guidance from CMS regarding the unwinding of certain Medicaid flexibilities. The document also includes a timeline of key Medicaid unwinding provisions included in the Consolidated Appropriations Act, 2023.


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.