On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
Section 1115 Demonstration Opportunity to Support Reentry for Justice-Involved Populations: CMS Guidance
On Tuesday, May 2, State Health and Value Strategies (SHVS) hosted a webinar that provided an overview of CMS’ guidance that outlines the opportunity for states to waive the inmate exclusion and receive federal financial participation for expenditures for certain pre-release healthcare services provided to individuals who are incarcerated and otherwise eligible for Medicaid.
On April 17, 2023, the Centers for Medicare & Medicaid Services (CMS) released a State Medicaid Director Letter (SMDL), “Opportunities to Test Transition-Related Strategies to Support Community Reentry and Improve Care Transitions for Individuals Who are Incarcerated.” The release of the SMDL, in addition to California’s first-in-the-nation waiver approval in January, provide a blueprint for other states requesting waiver authority to provide reentry services to justice-involved populations. For more information on California’s waiver, please refer to SHVS’ expert perspective, CMS Approves First-In-Nation Justice-Involved Reentry Section 1115 Demonstration.
During the webinar experts from Manatt Health provided an overview of CMS’ guidance and recommendations to help states adjust their demonstration features to align with federal guidance and California’s approved waiver, as needed. The webinar built on the recently published expert perspective, CMS Issues Guidance on Section 1115 Demonstration Opportunity to Support Reentry for Justice-Involved Populations, authored by experts at Manatt Health.