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.
Qualified Health Plan (QHP) Issuer Certification Checklist
Georgetown University Health Policy Institute – Mila Kofman, Katie Dunton and Sally McCarty
The Qualified Health Plan (QHP) Issuer Certification Checklist is a document developed by Georgetown University’s Health Policy Institute that insurance regulators (and/or Exchanges) can use or modify for use in reviewing applications filed by issuers for approval as QHP issuers. In addition to this PDF, the QHP Issuer Certification Checklist is also available in a fill-able Microsoft Word version for easy use and amendment by state regulators. Some QHP issuer certification elements in the checklist require a decision by the state to accept attestation by a carrier or to verify compliance directly through evidence that the requirements have been met. This checklist provides an outline for insurance regulators to ensure that issuers who seek to become QHP issuers are in compliance with Affordable Care Act requirements.