Templates & Toolkits | Dec 5, 2024

The Role of Medicaid Continuous Enrollment in Improving Children’s Health and Wellbeing: State Toolkit

Patti Boozang, Cindy Mann, and Michelle Savuto, Manatt Health 

This toolkit is intended to support states in leveraging 12-month and multi-year continuous enrollment (CE) for Medicaid/Children’s Health Insurance Program (CHIP)-eligible children and youth to promote access to care, ensure delivery of critical preventive and behavioral health services, and monitor child health outcomes in partnership with key stakeholders. States may use this toolkit to inform planning related to implementation of CE policies; adoption of alternative payment models to encourage providers to embrace innovative pediatric care delivery practices; and development of an oversight and quality improvement strategy to promote improved health and wellbeing outcomes for young children.


Expert Perspectives

January 7, 2025

Release of New E&E Guidance Related to Renewal Forms and Medicaid/Separate CHIP Transitions

Following the November release of guidance to support states’ efforts to verify eligibility and conduct renewals in compliance with federal Medicaid and CHIP requirements, the Centers for Medicare & Medicaid Services issued on December 20 two additional Center for Medicaid and CHIP Services Informational Bulletins (CIBs). This expert perspective summarizes the requirements outlined in the CIBs.

New CMS Guidance on Compliance Requirements for Provision of Medicaid/CHIP Services to Incarcerated Youth

On December 19, the Centers for Medicare and Medicaid Services released State Health Official (SHO) letter 24-006, “Provision of Medicaid and CHIP Services to Incarcerated Youth – FAQs,” which provides several clarifications for states on compliance expectations for implementing section 5121 of the Consolidated Appropriations Act of 2023. This expert perspective describes key clarifications addressed in the SHO letter.