On November 15, 2023, the Centers for Medicare & Medicaid Services released its proposed 2025 Notice of Benefit and Payment Parameters, the annual regulation which governs core provisions of the Affordable Care Act. This expert perspective focuses on aspects of the proposed rule likely to be of interest to state officials, including requirements for State-Based Marketplaces to align with the standards of the Federally Facilitated Marketplace, proposals for states to update essential health benefits, and initiatives to ease the eligibility and enrollment process for consumers.
Unwinding of the Public Health Emergency: What’s Next for States
On Wednesday, November 2 State Health and Value Strategies hosted a webinar on the key considerations and requirements for state Medicaid/CHIP agencies at the end of the public health emergency (PHE). Following the renewal of the PHE by the United States Department of Health and Human Services on October 13, absent another extension or federal legislation delinking the continuous coverage guarantee from the PHE, the Medicaid continuous coverage requirement will expire on January 31, 2023.
The webinar reviewed making permanent or terminating temporary COVID-19 flexibilities and returning to normal eligibility and enrollment processes. Presenters highlighted the intersection with our dynamic policy environment, including the recent CMS Proposed Rule on Medicaid and CHIP Eligibility, Enrollment, and Renewal; the November 2020 Interim Final Rule interpreting the Medicaid continuous coverage requirement; and the 2022 midterm elections.