Pathways to Coverage for COVID-19 Testing and Treatment for Adults in Medicaid Expansion and Non- Expansion States
The Pathways to Coverage for COVID-19 Testing and Treatment for Adults toolkit provides an overview for states of various coverage pathways for individuals, including those who are uninsured, in need of COVID-19 testing and treatment. The toolkit provides varying pathways for Medicaid expansion and non-expansion states.
A toolkit of messages for Medicaid agency staff to outreach to new consumers and current enrollees in light of COVID-19.
On Wednesday, April 29 State Health and Value Strategies hosted a webinar, State Strategies to Support Medicaid/CHIP Eligibility and Enrollment in Response to COVID-19. Many states are experiencing an increase in the volume of Medicaid applications due to the COVID-19 pandemic and the resulting economic crisis. During the webinar experts from Manatt Health reviewed strategies states can use to manage and process an increased number of Medicaid applications, and the federal authorities that permit states to do so. Communications experts from GMMB reviewed strategies for messaging to new and existing enrollees.
As the coronavirus (COVID-19) crisis continues, state Medicaid and Children Health Insurance Program (CHIP) agencies are rapidly pursuing multiple financing strategies to support their responses. CHIP Health Services Initiatives (HSIs) can provide additional financial support to states and local communities serving low-income children. This issue brief provides an overview of CHIP HSIs and identifies ways that states can leverage them as part of their targeted response to the COVID-19 pandemic.
As the COVID-19 pandemic continues to progress, providers across the continuum of care are experiencing significant changes in utilization resulting in declining revenue and jeopardizing access to care. The federal government has acknowledged the financial challenges facing providers through supplemental funding included in the three federal stimulus bills enacted to date. In addition, several states have submitted Section 1115 waivers requesting CMS approval to establish “disaster relief funds,” paid for with Medicaid dollars, to further assist providers. While it will take some time for waiver requests to be reviewed and for the new federal funds to be released, more immediately available tools can help ensure payments continue flowing to providers despite substantial utilization changes. This Q&A provides a moment-in-time update in response to questions SHVS has received regarding the April 9 Targeted Options for Increasing Medicaid Payments to Providers During COVID-19 Crisis Webinar and corresponding Toolkit.
In response to the COVID-19 pandemic, the federal government is moving rapidly to help states and health care providers respond to mounting needs for new sources of funding and flexibility. Congress has passed three COVID-19 stimulus bills, and the U.S. Department of Health and Human Services has issued guidance outlining new flexibilities available to states and providers, and is working to approve additional requests from states, to award funds appropriated by Congress, and to issue more guidance about such funding. This Q&A provides a moment-in-time update in response to questions SHVS has received about the federal government’s response.
On Tuesday, April 21, State Health and Value Strategies hosted a state-only webinar, Impact of COVID-19 on Medicaid Managed Care Performance Incentives. As the COVID-19 pandemic continues to evolve and significantly alter care delivery, states, managed care organizations (MCOs), and providers are considering the impact on health care quality and spending. States are examining their value-based payment programs and evaluating modifications to their performance year 2019 quality measurement and performance year 2020 quality and cost performance policies, particularly those arrangements that hold entities financially accountable for performance. During the webinar, experts from Bailit Health identified quality and cost performance issues related to Medicaid managed care performance incentives and discuss policy options for state consideration.
On Thursday, April 16 State Health and Value Strategies hosted a webinar, Implications of Health Care Provisions for States in the CARES Act, on the $2 trillion Coronavirus Aid, Relief, and Economic Security (CARES) Act, signed into law on March 27. The CARES Act contains a number of health care related provisions and federal funding sources to support states as they continue to work tirelessly to respond to the COVID-19 outbreak. During the webinar experts from Manatt Health and Georgetown’s Center on Health Insurance Reforms highlighted funding opportunities and conducted a deep dive on key provisions relevant to states included in the CARES Act.
On Thursday, March 26 at 2:00 p.m. ET State Health and Value Strategies hosted a webinar for state health officials that explored the key health care provisions in the second COVID-19 stimulus bill, the Families First Coronavirus Response Act, and the implications for state Medicaid and CHIP agencies, state departments of insurance, and state-based Marketplaces. The bill, Families First Coronavirus Response Act (enacted March 18), focuses largely on ensuring access to free testing as well as Medicaid fiscal relief; it also includes emergency supplemental appropriations to agencies on the front lines of the response to the pandemic, $1 billion in food aid, the establishment of an emergency paid leave benefits program, and the extension of sick leave benefits.
On Wednesday, March 18 State Health and Value Strategies hosted a webinar, Responding to COVID-19: State Strategies for Medicaid and Commercial Health Insurance Oversight. As states navigate increased spread of COVID-19 (Coronavirus), and in light of the President’s declaration of a national emergency, states are evaluating the tools available to them to respond to this new public health crisis. The webinar explored both the strategies available to Medicaid programs and the opportunities for state regulators to reduce gaps in coverage and lower barriers to accessing care. Technical assistance experts from Manatt Health and Georgetown’s Center on Health Insurance Reforms discussed the steps states have taken so far, as well as strategies and opportunities for states to consider as they ramp up their response to COVID-19. The webinar included a question and answer session during which states posed their questions to the experts on the line.