Expert Perspectives

Feb 7, 2024 

A Health Equity Data and Accountability Infrastructure for Massachusetts

The Massachusetts Executive Office of Health and Human Services, which houses the Massachusetts Medicaid program, convened two technical advisory groups to create a health equity data and accountability infrastructure for the state. This expert perspective highlights the work undertaken to develop a voluntary, aligned approach for collecting self-reported demographic data and the creation of a framework for introducing accountability in value-based contracts for four categories of health equity measures.

Feb 1, 2024 

Preparing to Implement the 12-Month Continuous Enrollment for Children Requirement: Questions and Answers

In late 2022, Congress enacted section 5112 of the Consolidated Appropriations Act, 2023 (CAA), requiring states to provide children under age 19 determined eligible for Medicaid or the Children’s Health Insurance Program (CHIP) with 12 months of continuous enrollment (CE) effective January 1, 2024. To support states in implementing CE, the Centers for Medicare & Medicaid Services issued sub-regulatory guidance expanding on the CAA’s new requirement. This Q&A is intended to serve as an added resource for states as they newly take up CE for children or modify existing CE policies to meet the CAA requirement. As noted, some issues remain open pending further CMS guidance.

Jan 18, 2024 

Rapid Message Test Insights to Inform 2024 Medicaid Renewal Messaging

State Medicaid agencies and their partners have been executing communications campaigns focused on Medicaid renewals for almost a year. In the closing months of unwinding, states have an opportunity to apply lessons learned and fine-tune messaging to maximize communications. SHVS conducted a rapid message test to gauge the persuasiveness of message themes to inform final unwinding communications, with the intention that these findings will continue to be useful as states return to routine renewal operations beyond the unwinding. This expert perspective highlights findings from the rapid message test and includes recommendations for states to refine or develop effective communications campaigns.

Jan 17, 2024 

States’ Reporting of Medicaid Unwinding Reinstatement Data

During the unwinding of the Medicaid continuous coverage requirement there has been a strong focus on monitoring the impacts of eligibility redeterminations. A review of public unwinding data identified 11 states that are voluntarily reporting Medicaid reinstatement data—including reinstatements as a result of CMS guidance on conducting ex parte at the individual level, as a result of fair hearing cases, or re-enrollment into Medicaid and the Children’s Health Insurance Program within the 90-day reconsideration period. This expert perspective reviews current state reporting of reinstatement data and provides recommendations for the reporting of such data.