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.
Mental Health Parity and Addiction Equity Act Issuer Checklist and Certification
Georgetown University Health Policy Institute
The Mental Health Parity and Addiction Equity Act (MHPAEA) Issuer Checklist and Certification has been developed by the Georgetown University Health Policy Institute for use by insurance regulators in reviewing products filed by issuers for compliance with MHPAEA. Regulators can use this template form to require issuers to: (i) indicate that they meet the specific requirements of the regulations promulgated pursuant to MHPAEA; (ii) provide a detailed explanation of any requirements that they do not meet; and (iii) certify that (a) the information in the Checklist and Certification is accurate and complete, and (b) they generally comply with MHPAEA. This Checklist and Certification is in word document format and can by amended by state regulators that wish to include additional checklist items or descriptive requirements. Once completed by the issuer, the checklist can streamline insurance regulator review of issuer’s product compliance with the requirements of the MHPAEA.