Expert Perspectives

Jul 26, 2024 

New CMS Guidance on the Provision of Medicaid and CHIP Services to Incarcerated Children and Youth: Requirements and Considerations for States

On July 23, 2024, the Centers for Medicare & Medicaid Services released a State Health Official letter, “Provisions of Medicaid and CHIP Services to Incarcerated Youth.” The letter provides implementation guidance on the Consolidated Appropriations Act, 2023 requirements that states provide specific services for children and youth eligible for Medicaid and CHIP and involved in the juvenile justice system. The SHO letter also offers states the option to provide full scope Medicaid and CHIP services to justice-involved eligible children and youth. The effective date for the provisions in the SHO letter is January 1, 2025. This expert perspective reviews the SHO letter in detail and highlights key considerations for states. 

Jul 19, 2024 

Summary: Notice of Funding Opportunity for the Transforming Maternal Health Model

On June 26, 2024 the Centers for Medicare & Medicaid Services (CMS) released the Notice of Funding Opportunity (NOFO) for the Transforming Maternal Health (TMaH).  This expert perspective summarizes the key takeaways pertaining to the model. CMS recommends that states submit a letter of intent to apply for the TMaH model and these optional letters of intent are due on August 8, 2024. Applications to participate in the model are due on September 20, 2024.

Jun 27, 2024 

Engaging Medicaid Members: New Requirements in the Medicaid Access Rule

The final Access Rule published on April 22, 2024 establishes new requirements for states regarding the engagement of people enrolled in Medicaid to inform policy and program design. Under the rule, states will need to create and support a Beneficiary Advisory Council (BAC) composed solely of current and former Medicaid enrollees, their family members, and paid and unpaid caregivers and a Medicaid Advisory Committee, comprising a diverse array of stakeholders, including members drawn from the BAC. The new requirements provide states with the opportunity to engage community members in a way that builds and maintains trust and strengthens the Medicaid program.

Jun 14, 2024 

State-Funded Affordable Health Coverage for Non-Citizen Populations

Non-citizens, including individuals who are lawfully present and those who are undocumented, make up a significant portion of the nation’s uninsured, limiting their access to care and worsening health disparities. State Health and Value Strategies has been tracking state actions to provide affordable health coverage for non-citizen populations. This expert perspective features an interactive map of state-funded coverage programs for low-income, non-citizen children and adults. The map highlights both existing programs and programs that are under development.