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.
Screening for Social Risk Factors Webinar Series
State Health and Value Strategies hosted a two-part webinar series on screening Medicaid members for social risk factors. State Medicaid agencies are increasingly recognizing the impact that non-medical factors, such as social risk factors, have on health. Social risk factors are adverse social conditions which create barriers to health for individuals, such as food insecurity and homelessness.
Screening for Social Risk Factors Part I: Working with Medicaid Managed Care to Design Screening Requirements
The first webinar drew from the recently published issue brief, Social Risk Factor Screening in Medicaid Managed Care and reviewed key terms, screening tools, and design decisions for states interested in screening Medicaid managed care members for social risk factors.
Screening for Social Risk Factors Part II: Developing a Screening Measure
The second webinar explored adopting a measure to assess social risk factor screening rates, which is the subject of the recently published issue brief, Developing a Social Risk Factor Screening Measure.