This expert perspective includes recommended communication strategies—and some examples—for how states can elevate coverage options and help ensure that more residents can access health insurance during these uncertain times.
Federal Authorities in the State Context
(i.e., Section 1135 Waivers, Section 1115 Waivers, 1915(c) Waiver Appendix K, Medicaid State Plan Amendments (SPAs))
|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.|
STATE HEALTH AND VALUE STRATEGIES RESOURCES
SHVS/Manatt Health/Georgetown CHIR. Implications of Health Care Provisions for States in the Second COVID Stimulus Bill Webinar slides and recording that explores the key health care provisions in the second COVID-19 stimulus bill.
SHVS/Manatt Health. State Medicaid and CHIP Strategies to Respond to the COVID-19 Public Health Crisis This expert perspective, written by experts at Manatt Health, discusses strategies state Medicaid and CHIP agencies can pursue as part of their response to COVID-19.
SHVS/Manatt Health. Responding to COVID-19: State Strategies for Medicaid and Commercial Health Insurance Oversight Webinar recording and slide deck from webinar hosted on March 18, 2020.
STATE TEMPLATES AND TOOLKITS
CMS. Section 1135 Waiver Flexibilities This page includes federal background information on Section 1135 waivers and a CMS-developed template for states and territories.
CMS. Federal Disaster Resources This page catalogs CMS’s approved COVID-19 State Section 1135 waivers.
CMS. 1115 Application Process This page includes guidance and a template for COVID-19 1115 waiver demonstrations.
CMS. State Plan Flexibilities This page includes guidance and templates for the Medicaid State Plan Disaster Relief SPA and CHIP Disaster Relief SPA.
CMS. Emergency Preparedness and Response for Home and Community Based (HCBS) 1915(c) Waivers This page includes 1915(c) Waiver Appendix K templates, instructions, and CMS ‘s approved COVID-19 State Appendix K documents.
Kaiser Family Foundation. Medicaid Emergency Authority Tracker: Approved State Actions to Address COVID-19 This page includes details on Section 1135 waivers and 1915 (c) Waiver Appendix K strategies.
FEDERAL STATUTE AND GUIDANCE
CMS. CMS Announces Relief for Clinicians, Providers, Hospitals and Facilities Participating in Quality Reporting Programs in Response to COVID-19 CMS announced it is granting exceptions from reporting requirements and extensions for clinicians and providers participating in Medicare quality reporting programs.
CMS. COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers This broad-sweeping guidance outlines a host of blanket waivers and flexibilities that the Administration is affording to health care providers.
CMS. Fact Sheet: Expansion Of The Accelerated And Advance Payments Program For Providers And Suppliers During COVID-19 Emergency CMS expands Accelerated and Advance Payments to all Medicare FFS providers and suppliers.
CMS. Trump Administration Engages America’s Hospitals in Unprecedented Data Sharing This letter requests that hospitals report testing data to HHS and bed capacity and supplies to CDC’s National Healthcare Safety Network on a daily basis.
Congress. H.R. 6201 Families First Coronavirus Response Act Second COVID-19 response / stimulus bill.
CMS. The Center for Consumer Information & Insurance Oversight Fact Sheets & Frequently Asked Questions (FAQs) Compilation of COVID-19 FAQs on private insurance issues
CMS. COVID-19 Resources for States Compilation of resources for state on Medicare, Medicaid, and CHIP, including transcripts and recordings of all-state calls.
CMS. Coronavirus Waivers and Flexibilities Resources on waivers and flexibilities available to states and providers.
Internal Revenue Service (IRS). Cornonavirus Tax Relief Information on federal tax provisions, guidance, and operational changes responding to COVID-19.
CMS. Podcasts and Transcripts: COVID-19 Stakeholder Calls Recordings and transcripts of CMS calls on COVID-19 with states and other stakeholders.
Internal Revenue Service (IRS). High-deductible health plans can cover coronavirus costs
Internal Revenue Service (IRS). Tax Day now July 15: Treasury, IRS extend filing deadline and federal tax payments regardless of amount owed
CMS. FAQs on Availability and Usage of Telehealth Services through Private Health Insurance Coverage in Response to Coronavirus Disease 2019 CCIIO FAQs on telehealth coverage.
CMS. FAQs on Catastrophic Plan Coverage and the Coronavirus Disease 2019 (COVID-19) CCIIO guidance on COVID-19 coverage and catastrophic plans.
CMS. FAQs on Prescription Drugs and the Coronavirus Disease 2019 (COVID-19) for Issuers Offering Health Insurance Coverage in the Individual and Small Group Markets CCIIO guidance on Rx coverage and COVID-19.
CMS. Payment and Grace Period Flexibilities Associated with the COVID-19 National Emergency CCIIO guidance on grace periods.
Internal Revenue Service (IRS). HIGH DEDUCTIBLE HEALTH PLANS AND EXPENSES RELATED TO COVID-19 IRS Notice allowing HDHPs to waive cost-sharing for COVID-19 testing & treatment.
Manatt Health. Infographic: 1st COVID Bill: Coronavirus Preparedness and Response Supplemental Appropriations Act, 2020 A new infographic detailing the U.S. Department of Health and Human Services (HHS) agencies allotted funds in the first COVID-19 bill, Preparedness and Response Supplemental Appropriations Act, 2020—including the Public Health and Social Services Emergency Fund, the National Institutes of Health (NIH) , the Health Resources and Services Administration (HRSA) and the Centers for Disease Control (CDC)—as well as the amounts of the funding, the uses and the recipients.
Medicaid and CHIP Payment and Access Commission. Medicaid’s Role in Disasters and Public Health Emergencies
STATE EXAMPLES AND MODELS
California. All Plan Letter Reinforces plans’ obligations under existing state authority to cover all medically necessary treatment, including for COVID-19, without prior authorization.
California. DHCS COVID‑19 Response CA developed a robust, centralized COVID-19 resource page that provides guidance related to providers, HCBS, and federal requests/waivers.
New Jersey. Letter to HHS and CMS requesting an SEP The governor of theis state sent a letter to HHS and CMS requesting a SEP to allow for uninsured and underinsured residents to enroll in health coverage through healthcare.gov.
Pennsylvania. Letter to HHS and CMS requesting an SEP The governor of theis state sent a letter to HHS and CMS requesting a SEP to allow for uninsured and underinsured residents to enroll in health coverage through healthcare.gov.