How States are Leveraging Medicaid Managed Care to Address Health-Related Social Needs
On Wednesday, November 9 State Health and Value Strategies (SHVS) and the Health Foundation of South Florida (HFSF) hosted a webinar that reviewed examples of state approaches to address enrollees’ health-related social needs that do not require an 1115 waiver. During the webinar, experts from Bailit Health reviewed a new SHVS/HFSF resource, Addressing Health-Related Social Needs Through Medicaid Managed Care, described approaches to require and/or incentivize Medicaid plans to address health-related social needs, and facilitated a discussion with state Medicaid officials.
Unwinding of the Public Health Emergency: What’s Next for States
On Wednesday, November 2 State Health and Value Strategies hosted a webinar on the key considerations and requirements for state Medicaid/CHIP agencies at the end of the PHE. The webinar reviewed making permanent or terminating temporary COVID-19 flexibilities and returning to normal eligibility and enrollment processes. Presenters highlighted the intersection with our dynamic policy environment, including the recent CMS Proposed Rule on Medicaid and CHIP Eligibility, Enrollment, and Renewal.
Reaching Non-Citizen Communities: Resources to Support State Outreach and Education to Drive Healthcare Enrollment
States are working in various ways to engage and enroll individuals in health coverage regardless of their immigration status. In some cases, states continue to conduct outreach to eligible but remaining uninsured individuals, such as citizen children in families with mixed immigration status. In other cases, states are in the process of expanding coverage options to make new options available for non-citizens. The resources in this toolkit were informed by research and developed for states to customize based on their unique needs, program eligibility criteria, and environments to support outreach and education efforts to drive enrollment in new or existing health coverage programs.
State Strategies to Improve Maternal Health and Promote Health Equity Compendium
This compendium provides information on strategies to improve maternal health outcomes and synthesizes research about the national state-of-play, including state examples, across four domains: maternal health models, quality improvement, workforce and benefits, and eligibility and enrollment/coverage expansion. This resource builds on a September 2022 maternal health roundtable convened by State Health and Value Strategies (SHVS) and Manatt Health with California, Louisiana, Maryland, Minnesota, and Tennessee.
CMS Proposed Rule on Medicaid and CHIP Eligibility, Enrollment, and Renewal: Implications for States
On Monday, October 17, State Health and Value Strategies hosted a webinar that provided an overview of the proposed rule released by CMS that seeks to strengthen existing eligibility, enrollment, and renewal operational processes. During the webinar experts from Manatt Health highlighted the intersection with unwinding and the end of the public health emergency, discussed key considerations related to the new policy, IT systems, and operational process changes, and reviewed opportunities for state policymakers to provide comment. The webinar drew on the expert perspective CMS Proposed Rule on Medicaid and CHIP Eligibility, Enrollment, and Renewal that summarizes the proposed rule.
Open Enrollment Period 2022-23 Messaging
The open enrollment period for the plan year beginning 2023 will begin on November 1, 2022, and marketplaces will be encouraging consumers to sign up for health coverage. This open enrollment period will see a continuation of enhanced subsidies and for some states, implementation of a fix to the so-called “Family Glitch.” This document includes research-based messaging to support outreach and enrollment, addressing common barriers consumers have to getting and keeping health coverage.
Protected: Facilitated and Automatic Enrollment Strategies
Password protected resource page for members of the Facilitated and Automatic Enrollment Strategies affinity group.
Protecting Coverage for Postpartum Individuals at the End of the Public Health Emergency
When the federal Medicaid continuous coverage requirement expires, states will redetermine eligibility for nearly all Medicaid enrollees, including roughly 1.7 million people enrolled in a Medicaid or CHIP pregnancy eligibility group. This issue brief reviews proactive strategies that states can deploy to support postpartum individuals in maintaining health coverage and access to care when the Medicaid continuous coverage guarantee ends and beyond.
SHVS Resource Page: The No Surprises Act
SHVS is tracking the latest federal guidance related to implementation and oversight of the No Surprises Act (NSA), the comprehensive federal law banning balance bills in emergency and certain non-emergency settings beginning January 1, 2022. This resource page highlights the latest SHVS resources for states on federal NSA guidance and summarizes its implications for state regulators.
Medicaid Managed Care Procurements: A Toolkit for State Medicaid Agencies
Implementing a statewide, competitive procurement for Medicaid managed care is one of the more important things state purchasers do to improve value. This toolkit is designed to help states develop a procurement process focused on improving program performance in specific areas valued by the state. It guides Medicaid agencies through key action steps and considerations in the major phases of the procurement cycle: 1) strategic procurement planning, 2) solicitation development, 3) bid review and selection, 4) contract execution, readiness review and implementation, and 5) contract management.