Issue Briefs | Nov 11, 2011

Medicaid Managed Care: How States’ Experience Can Inform Exchange Qualified Health Plan Standards

Manatt Health Solutions – Deborah Bachrach, Patricia Boozang and Allison Garcimonde

State Affordable Insurance Exchanges (exchanges) are at the core of the coverage reform in the Affordable Care Act (ACA). The exchanges establish a marketplace in which individuals and small employers can compare and select among affordable, quality health insurance options. In this policy brief, supported by the State Network and published by the Center for Health Care Strategies, authors from Manatt Health Solutions examine lessons from Medicaid managed care contracts in six states. The brief notes opportunities for exchanges to “borrow” from and align qualified health plan standards with Medicaid managed care requirements, as well as areas where managed care requirements may need to be modified for adoption in exchanges.


Expert Perspectives

November 22, 2024

Information Sharing Considerations for Implementing the Consolidated Appropriations Act’s Requirements for Justice-Involved Children and Youth

This expert perspective reviews the information sharing considerations for states in implementing the Consolidated Appropriations Act’s (CAA) requirements to provide targeted case management and screening and diagnostic services for children and youth who are incarcerated and enrolled in Medicaid or CHIP. The expert perspective highlights key areas of CAA implementation that require information sharing, which states will need to consider as they work towards coming into full compliance.

November 15, 2024

CMS Releases Guidance on Optional Long-Term Use of Unwinding-Related Section 1902(e)(14) Waivers

On November 14, 2024, CMS released its second installment in its series of Medicaid and CHIP guidance intended to support state efforts to verify eligibility and conduct renewals in compliance with federal Medicaid and CHIP requirements. A new expert perspective summarizes the latest CMCS Informational Bulletin and accompanying slide deck which address the continued use of unwinding-related section 1902(e)(14) waivers beyond the previously established expiration date of June 30, 2025.