Expert Perspectives

Oct 11, 2024 

CMS Offers New Details on Account Transfer 2.0

The Center for Medicaid and CHIP Services (CMCS) explained the transition to “Account Transfer 2.0” (AT 2.0) in a CMCS Informational Bulletin (CIB) released on October 10, 2024. The CIB indicates significant federal investment in improving the process of transferring consumer application information between state Medicaid and CHIP agencies and the Marketplace in the states using the federal platform. This expert perspective reviews the CIB and highlights opportunities for states to improve account transfer data under the CIB.

Oct 11, 2024 

CMS Solicits Comments on Medicaid/CHIP Reporting Templates for Mental Health and Substance Use Disorder Parity

On September 9, the Centers for Medicare & Medicaid Services (CMS) released a new collection of federal Medicaid and CHIP reporting templates designed to assist states in monitoring Mental Health Parity and Addiction Equity Act (MHPAEA) compliance in Medicaid and CHIP. Informal public comment is requested by December 2, 2024. This expert perspective reviews the reporting templates to highlight considerations for states and support the formulation of comment submissions.

Sep 27, 2024 

States Have New Flexibility to Add Adult Dental Care to Essential Health Benefits

On April 2, 2024, the Centers for Medicare & Medicaid Services offered a new option for states to update their essential health benefits (EHB) benchmark plan to require coverage of routine adult dental benefits. While there are multiple drivers of inequities in oral health, a primary barrier to accessing dental services is the cost of care, a barrier that can be reduced with dental insurance. This expert perspective provides an overview of the newly available flexibility and discusses considerations for states weighing whether to add a requirement that plans subject to EHB cover routine adult dental care.

Sep 26, 2024 

CMS Releases Guidance Outlining Expectations for State Compliance with Medicaid and CHIP Renewal Requirements

On September 20, 2024, CMS issued guidance detailing the timeline and expectations for states to fully comply with federal Medicaid and CHIP renewal requirements. This expert perspective summarizes the guidance, which requires every state to submit by December 31, 2024 a plan (using CMS’ template) that assesses state compliance with the federal renewal requirements and describes the plan for addressing deficiencies to achieve full compliance by December 31, 2026.

Sep 20, 2024 

Utilizing WhatsApp in State Medicaid and Marketplace Outreach Efforts

In today’s dynamic digital landscape, state Medicaid agencies and Marketplaces have various tools to reach their audiences efficiently and effectively with important information. WhatsApp, a globally adopted direct messaging platform, has risen in popularity with users in the U.S. and shown increased potential for reaching specific populations. While WhatsApp is commonly used as a direct-to-consumer tactic, this expert perspective explores strategies and best practices for states that are interested in using WhatsApp in their member outreach and support efforts.