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.
Implications of Health Care Provisions for States in the Second COVID Stimulus Bill
Manatt Health and Georgetown University’s Center on Health Insurance Reforms
As the United States struggles to slow the spread of COVID-19, preparing for and mitigating the impact of the crisis on the economy, the health care system and the population is dominating the focus of Congress, the Administration and state governments. After rapid action, Congress passed two initial COVID-19 bills and is expected to pass a third–much larger—economic stimulus package, with possibly a fourth package in the coming weeks. The second bill, Families First Coronavirus Response Act (enacted March 18), focuses largely on ensuring access to free testing as well as Medicaid fiscal relief; it also includes emergency supplemental appropriations to agencies on the front lines of the response to the pandemic, $1 billion in food aid, the establishment of an emergency paid leave benefits program, and the extension of sick leave benefits.
During the webinar, experts from Manatt Health and Georgetown’s Center on Health Insurance Reforms explored the key health care provisions in the second COVID-19 stimulus bill, the Families First Coronavirus Response Act, and the implications for state Medicaid and CHIP agencies, state departments of insurance, and state-based Marketplaces. The webinar included a question and answer session during which webinar participants can pose their questions to the experts on the line.