State Materials , Templates & Toolkits | Apr 7, 2023
Compendium of Medicaid Managed Care Contracting Strategies to Promote Health Equity
The Compendium identifies approaches states are taking within their Medicaid managed care (MMC) programs to promote health equity. It has been updated seven times since its original publication in June 2020 and this latest update describes approaches 21 states are taking within MMC to promote health equity, features state examples for further illustration, and includes excerpts from state contract and procurement documents. In this updated version information has been synthesized across select states and approaches have been categorized to support cross-state learning and incorporates examples from MMC procurements from Delaware, Mississippi, Missouri, Nebraska, Texas, and West Virginia, six states that are new to the Compendium. It also includes updated information for several states featured in prior versions. A companion expert perspective, What’s New in State Approaches to Promoting Health Equity in Medicaid Managed Care, highlights the states that are new to the Compendium.
On December 6, the Centers for Medicare & Medicaid Services published and made effective an interim final rule (IFR) with comment period regarding states’ ongoing unwinding efforts to redetermine eligibility for all Medicaid enrollees nationwide. This expert perspective summarizes the IFR, which interprets and implements the state reporting requirements and CMS enforcement authorities that Congress enacted last winter in the Consolidated Appropriations Act of 2023.
The 11th annual open enrollment period (OEP) is underway, providing consumers with an opportunity to enroll in health coverage for plan year 2024 through the Affordable Care Act Marketplaces. To support consumers during this OEP, State-Based Marketplaces (SBMs) are innovating to make health coverage more affordable and easier for consumers to enroll. This expert perspective highlights new initiatives being implemented by SBMs during the plan year 2024 OEP, including establishing or improving state subsidy programs to reduce out-of-pocket costs, expanding coverage for undocumented populations, or implementing policies to improve the enrollment process.
As the unwinding of the Medicaid continuous coverage requirement continues, both states and the federal government are tracking and monitoring the impacts of the resumption of eligibility redeterminations and disenrollments. Given the time-lags and caveats of CMS data, many states are publishing their own state data dashboards. To date, 46 states (including the District of Columbia) have released unwinding data in either an interactive dashboard or static pdf format, or are making public their required CMS Monthly Unwinding Data reports. This expert perspective includes an interactive map with links to state reporting, as well as a table tracking the unwinding indicators and disaggregated data that states are reporting on. SHVS will continue to update this EP as more states publish their unwinding data.