Expert Perspectives

Dec 13, 2024 

CMS Releases Updated HRSN Framework for Medicaid and CHIP

On December 10, 2024, the Centers for Medicare & Medicaid Services released an updated CMCS Informational Bulletin (CIB) that refines CMS’ descriptions of opportunities for states to cover clinically appropriate and evidence-based services and supports that address health-related social needs (HRSN) in Medicaid and the Children’s Health Insurance Program. This expert perspective summarizes the CIB.

Nov 22, 2024 

Information Sharing Considerations for Implementing the Consolidated Appropriations Act’s Requirements for Justice-Involved Children and Youth

This expert perspective reviews the information sharing considerations for states in implementing the Consolidated Appropriations Act’s (CAA) requirements to provide targeted case management and screening and diagnostic services for children and youth who are incarcerated and enrolled in Medicaid or CHIP. The expert perspective highlights key areas of CAA implementation that require information sharing, which states will need to consider as they work towards coming into full compliance.

Nov 15, 2024 

CMS Releases Guidance on Optional Long-Term Use of Unwinding-Related Section 1902(e)(14) Waivers

On November 14, 2024, CMS released its second installment in its series of Medicaid and CHIP guidance intended to support state efforts to verify eligibility and conduct renewals in compliance with federal Medicaid and CHIP requirements. A new expert perspective summarizes the latest CMCS Informational Bulletin and accompanying slide deck which address the continued use of unwinding-related section 1902(e)(14) waivers beyond the previously established expiration date of June 30, 2025.

Nov 5, 2024 

The Proposed 2026 Payment Notice: Implications for States

On October 4, 2024, the Centers for Medicare & Medicaid Services released its proposed Notice of Benefit and Payment Parameters for 2026. This annual rule governs core provisions of the Affordable Care Act. This expert perspective focuses on provisions of the proposed rule of interest to state officials.

Oct 30, 2024 

What Do the New Census Data Say About Insurance Coverage for Children and Adults? A Look at Both the National and State Level

The new 2023 estimates from the American Community Survey provide national and state-level insurance coverage estimates, but do not fully reflect the Medicaid unwinding. Despite this limitation, the data are instructive about changes to coverage during the early months of the unwinding period and generally for the year 2023. This expert perspective examines insurance coverage for children and adults, including uninsurance rates for children by state and income level.