In light of recent postal delays and housing displacements caused by the COVID-19 pandemic and related economic crisis, and a wave of natural disasters across the country, state Medicaid and Children’s Health Insurance Program (CHIP) agencies face new challenges communicating with their enrollees about their health coverage. Acting now to mitigate these challenges is essential as states are preparing for the end of the public health emergency (PHE) and “catching up” on coverage renewals for a large portion of their enrollees. This expert perspective reviews strategies that state Medicaid and CHIP agencies may consider to help mitigate coverage losses.
Issuer Essential Health Benefits Crosswalk and Certification
Georgetown University Health Policy Institute
The Issuer Essential Health Benefits (EHB) Crosswalk and Certification has been developed by the Georgetown University Health Policy Institute to help insurance regulators ensure that product filings include the required EHBs as set forth in the applicable state benchmark plan. Regulators can use the tool provided here, requiring issuers to complete the Crosswalk and Certification by: (i) describing each benefit as set forth in the state’s benchmark plan (including applicable page numbers); (ii) describing the corresponding benefit in the issuer’s product filing (including applicable page numbers); and (iii) certifying that (a) the information in the Crosswalk and Certification is accurate and complete and (b) the product filing includes all required essential health benefits as set forth in the state’s benchmark plan. The issuer completed Crosswalk and Certification is intended to increase the efficiency of the form review process by allowing form reviewers to quickly find and verify that the product under review meets all applicable EHB requirements. The tool is word document format and is designed to be modified to meet state-specific needs.