On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
Infographics on the Unwinding Provisions in the Consolidated Appropriations Act (CAA)
Congress passed the Consolidated Appropriations Act (CAA) on December 23, 2023, an omnibus funding package that separates the Medicaid continuous coverage provision from the COVID-19 public health emergency (PHE), provides a fixed end date for the Medicaid continuous coverage guarantee of March 31, 2023, a gradual phase down of the Families First Coronavirus Response Act (FFCRA) enhanced federal match rate, and new guardrails to prioritize coverage retention and smooth coverage transitions during the “unwinding.”
These infographics provide an overview of the key changes to the parameters for unwinding enacted by the CAA as well as an illustrative continuous coverage unwinding timeline under the CAA. The infographics are intended to help states communicate internally or with key stakeholders about the Medicaid continuous enrollment condition provisions in the CAA and can be downloaded to use in communications. The infographics are also available to download as a PowerPoint here.
The infographics are updated as of February 2023 to reflect additional detail and operational expectations of states during the unwinding, as laid out in CMS’ January 2023 State Health Official letter.