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.
States Expanding Medicaid See Significant Budget Savings and Revenue Gains
Deborah Bachrach, Patricia Boozang, Avi Herring, and Dori Glanz Reyneri, Manatt Health
In addition to the impact that state decisions to expand Medicaid have had on coverage rates across the country, there is an increasing body of evidence showing consistent economic benefits among these states. This report, prepared by Manatt Health, is an update to an April 2015 State Network report, and examines data regarding Medicaid expansion in eleven states, demonstrating that states continue to realize budget savings and revenue gains as a result of expanding Medicaid. Savings and increased revenue in expansion states fall into three major categories, including state savings from accessing enhanced federal matching funds, state savings from replacing general funds with Medicaid funds, and revenue gains through assessments or fees on providers and/or health plans. Previous reports in this ongoing series are available here.