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.
State Network Presentation at NAIC Western Zone Meeting
State Health Reform Assistance Network – Chad Shearer
Chad Shearer, Deputy Director of the State Health Reform Assistance Network, presented at the National Association of Insurance Commissioners (NAIC) Western Zone Meeting held September 22, 2012 in San Antonio, TX. The presentation gave an overview of the State Network and tools developed by the program specifically for insurance regulators. The Georgetown University Health Policy Institute produced a comprehensive health reform toolkit, highlighted in the presentation, containing several self-audits, templates, and checklists to help departments of insurance work in concert with other state agencies. These resources are available as part of the ACA Implementation Toolkit for Departments of Insurance. The presentation continues with an update on state approaches to the Essential Health Benefits (EHB) analyses. These resources include plan comparison charts, stakeholder comments, and state benchmark recommendations to inform insurance regulators of the tools available for EHB analysis and decision making and foster cross-agency collaboration in this process. Each page hyperlinks to the online resource