At the end of the federal public health emergency, states will need to redetermine eligibility for nearly all Medicaid enrollees in the largest healthcare event since the Affordable Care Act. In order to avoid potential coverage losses, states will need to communicate with enrollees and other stakeholders about the actions they need to take to keep individuals enrolled in Medicaid or transition to another form of health coverage. One way that states are promoting transparency in their communications and planning efforts is through the public release of their unwinding operational plans. This expert perspective highlights several states that have made their unwinding operational plans publicly available as well as examples of states’ ongoing communication efforts, including outreach campaigns to Medicaid enrollees, strategies for collaborating with stakeholders, and collaborative initiatives within Marketplace states. This expert perspective has been updated as of November 17, 2022 to reflect recently released state unwinding operational plans.
State Medicaid Financing Fact Sheets
As states seek to understand the impacts of proposed changes to Medicaid financing, comparative data on where states stand can be very valuable. The memos included here use state-specific data to analyze the impact of proposals to limit federal Medicaid funding on all 50 states and the District of Columbia. The state data are drawn from a tool kit prepared by Manatt Health for the Robert Wood Johnson’s State Health Reform Assistance Network. While the most recent attempt to cap federal Medicaid funding in the American Health Care Act did not advance to a vote in the Congress, it is likely that this issue will remain a priority for Congressional leadership. And, future capped funding proposals can be expected to rely on historic state-specific spending patterns and national trend rates as earlier proposals did. These memos are intended to assist states in evaluating how they might fare relative to other states under a capped funding model considering the unique features of each state’s health care landscape.