When the Families First Coronavirus Response Act Medicaid “continuous coverage” requirement is discontinued states will restart eligibility redeterminations, and millions of Medicaid enrollees will be at risk of losing their coverage. A lack of publicly available data on Medicaid enrollment, renewal, and disenrollment makes it difficult to understand exactly who is losing Medicaid coverage and for what reasons. Publishing timely data in an easy-to-digest, visually appealing way would help improve the transparency, accountability, and equity of the Medicaid program. This expert perspective lays out a set of priority measures that states can incorporate over time into a data dashboard to track Medicaid enrollment following the end of the continuous coverage requirement. For a detailed discussion of the current status of Medicaid enrollment and retention data collection and best practices when developing a data dashboard to display this type of information, SHVS has published a companion issue brief.
Webinar: Overview of Medicaid Marketplace Premium Assistance Waiver Programs
Deborah Bachrach, Jocelyn Guyer, and Liz Osius, Manatt Health Solutions
As of January 27, 2015, two states have received approval from the Centers for Medicare and Medicaid Services to expand Medicaid through private market-based coverage. These premium assistance programs have paved the way for the non-expansion states who continue to discuss how they might expand their Medicaid programs. These new models offer viable alternatives for covering previously uninsured populations while addressing those states’ concerns about some of the budgetary, political, and market challenges associated with traditional Medicaid expansion.
During a webinar hosted by State Coverage Initiatives and the State Health Reform Assistance Network, Manatt Health Solutions provided an overview of Medicaid Marketplace Premium Assistance and outlined the authorization vehicles through which a state may establish a program. The presentation also detailed the federal requirements for and operational implications of implementation with respect to: eligibility for the program, benefits and network adequacy, premiums and cost-sharing, shopping and enrollment, and interagency cooperation. John Selig, the Director of the Arkansas Department of Human Services, also participated and offered Arkansas’ experience with implementation of their program. The webinar slides can be found at the “download” button and a webinar recording can be found here.