On January 27, 2023, the Centers for Medicare & Medicaid Services released a State Health Official (SHO) letter, “Medicaid Continuous Enrollment Condition Changes, Conditions for Receiving the FFCRA Temporary FMAP Increase, Reporting Requirements, and Enforcement Provisions in the Consolidated Appropriations Act, 2023.” The SHO letter is the second in a series of guidance related to section 5131 of the Consolidated Appropriations Act, 2023 (CAA), which established a fixed end date for the Medicaid continuous coverage requirement, a gradual phase-down for the enhanced federal match, and new guardrails for mitigating coverage loss for individuals who continue to be eligible. This expert perspective reviews the additional detail and operational expectations of states during the unwinding of Medicaid continuous coverage as laid out in the SHO letter.
Strategies for Supporting and Strengthening Medicaid Information Technology During the COVID-19 Crisis
Alice Lam and Elizabeth Dervan, Manatt Health
As states face the extraordinary challenges of the COVID-19 crisis, information technology (IT) is an essential tool to support access to health coverage and the safe and effective evaluation, testing, and treatment of patients nationwide. Under the current statutory and regulatory framework, state Medicaid agencies are authorized to receive federal funding for Medicaid IT and associated activities, and much of it at an enhanced federal matching level. Medicaid IT and associated activities eligible for support comprise the development, implementation and operations of states’ vast Medicaid program administrative systems and state Medicaid agency activities to facilitate adoption of electronic health records and exchange of health information by health care providers.
This issue brief outlines potential IT investments in responding to COVID-19 and strategies for states to support these investments, and to secure current and future IT investments that enable ongoing Medicaid program operations and advance health information exchange. The issue brief also highlights the Medicaid authorities and the provisions that may allow states more expeditious access and flexible use of these funds during the ongoing public health emergency and in retooling the Medicaid delivery system in this new era of pandemic.
SHVS is also hosting a companion webinar to this issue brief on Thursday, May 21.