This commentary shares how Medicaid enabled Becky to receive home-based services and access health services and medications for her multiple sclerosis diagnosis.
This commentary shares how Medicaid enables Nicholas to live a full and independent life with autism by covering essential services, such as transportation to work.
This article discusses the impact analysis of the new federal rule on Medicaid work requirements, citing discrepancies in coverage loss and employment gain estimates from other projections.
This blog discusses CMS' interim final rule on medical frailty and identifies challenges enrollees and states will likely face to identify exemptions from new Medicaid work requirements.
This blog summarizes the "MediKids Act," a bill proposed by Senator Kim to provide healthcare coverage for all children in the United States.
This commentary shares how Medicaid covers everyday services for Juan as he navigates living with cerebral palsy and working part-time.
This commentary shares how Medicaid served as a backstop to Latrice's healthcare coverage so that her baby could receive heart surgery and other needed care during her first year of life.
This blog discusses CMS' interim final rule on medical frailty and its impact on those with substance-use disorders and mental health conditions.
This report reviews the Centers for Medicare & Medicaid Services' interim final work requirement rule, including which states are subject to it and implementation guidelines.
This report discusses the work requirements exclusion for pregnant or postpartum women and how to keep them covered.
This blog discusses CMS' interim final rule regarding medical frailty and the recent complaint states have filed to prevent the implementation of its provisions.
This commentary discusses how Medicaid covered Sarah's prenatal care after she was diagnosed with a pre-existing condition and enabled her to finish school and become employed full-time.
This blog discusses the CMS' interim rule on work reporting requirements and discrepancies in medical frailty definitions.
This blog discusses the large decline in CHIP enrollment and the ten states experiencing the largest absolute declines.
This commentary shares how Maryland's Medicaid buy-in program enabled Nicole, who has autism spectrum disorder and other health challenges, to receive dental care.
This blog is a nonpartisan examination of federal Medicaid work requirements, Medicaid frailty exemptions, and the impact on coverage loss and employment outcomes.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This blog discusses how the National Diabetes Prevention Program can be leveraged to prevent diabetes and manage care costs for Medicaid enrollees.
This commentary shares how Medicaid enables Sonia to care for her adoptive son who experiences developmental disabilities and requires testing, therapy, and other health services to remain healthy.
This commentary shares how Medicaid covers primary care, dental visits, and immunizations for Regina's daughter when Regina was underemployed.
This blog discusses the implications of the drop in child enrollment to Medicaid and CHIP and how it compares to previous years.
This commentary shares how Medicaid enabled Nancy to access and afford healthcare when she was forced to leave home while still in high school.
This commentary tells the story of John and Bernie, who both turned to Medicaid after losing their jobs when Bernie needed medical care following a heart attack.
This commentary shares how Medicaid coverage enables Nicholas to work, participate in his community, and receive necessary services for his autism spectrum disorder.
This commentary shares how Medicaid covers a daily caregiver, a wheelchair, and other equipment for Ben, who was born with cerebral palsy, and enables him to live independently and advocate for people with disabilities.
This brief discusses the benefits of Medicaid on the health and wellbeing of everyone and offers policy recommendations for states to preserve access to preventive and life-saving care.
This article analyzes the effect of Medicaid expansion on noncitizen adults in California.
This commentary shares how Medicaid coverage enables Maddy, who was born with Asperger syndrome, work two part-time jobs.
This blog discusses birthright citizenship, Trump v. Barbara, and its impact on access to care for newborns who qualify for Medicaid.
This commentary shares how Medicaid enabled Robert to recover from addiction and receive mental healthcare services.
This blog outlines how parents and caretakers under Section 1931 will be impacted by Medicaid work reporting requirements.
This blog discusses the importance of protecting pregnant and postpartum women when developing work requirement exemption processes and recommendations for states.
This factsheet provides an overview of both programs and opportunities to improve integration for dually eligible enrollees.
This commentary tells the story of Jamie, whose daughter was born with a genetic syndrome that led to complex medical needs.
This story tells how Medicaid supplemented Gene's health coverage after an accident left him quadriplegic at age 17.
This commentary shares how Medicaid enables Susie's daughter Tymia to have access to prescription drugs and life-saving surgeries for her sickle cell disease.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This commentary shares how Valerie and her husband Christopher were able to adopt and support their two sons with challenging health conditions because of Medicaid's coverage of their medications and other treatment.
This commentary shares how Medicaid covered LaVerne's prenatal care while she pursued her bachelor's degree in nursing, allowing her to focus on finishing her education.
This blog discusses the House Republican Study Committee's plan proposals, such as delaying Medicaid/CHIP coverage where citizenship status is not initially available and prohibiting Medicaid coverage of gender-affirming care.
This report shares estimates for enrollment and cost savings if states removed income and asset thresholds to allow people with disabilities to retain Medicaid coverage while receiving increased earnings from employment.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This blog offers strategies for recruitment and outreach for Medicaid Beneficiary Advisory Councils.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This blog discusses opportunities for states to connect enrollees with employment and supports to maintain coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This blog explains how OBBB cuts will affect Medicaid coverage for adults ages 18 to 24.
This fact sheet summarizes national Medicaid work requirements, its implementation, and exemptions.
This brief outlines strategies states can use to partner with Medicaid members and CBOs in implementing work requirement policies that reflect community input.
This blog discusses the progression of the Medicaid program in recognition of its 60th anniversary.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This brief considers the budget reconciliation bill’s implications for expansion enrollees with unstable employment and adults who experience job loss or instability before enrolling in Medicaid.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This report assesses the implications of eliminating Medicaid expansion in Ohio if federal proposals for spending reductions become law.
This blog discusses how the House of Representatives' May 2025 reconciliation bill would cause roughly 3 in 10 young adults ages 18 to 24 insured through Medicaid to lose coverage.
This blog examines the effects of bi-annual Medicaid redeterminations on enrollees, including reducing enrollees’ access to care, adding to enrollees’ paperwork hassles, and increasing administrative costs for state Medicaid agencies, health plans, and providers.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This blog discusses how potential Medicaid policy changes will impact young adults with diabetes as they transition from their parents' coverage.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This blog uses Arkansas' work requirement program and national survey data to highlight the effects of Medicaid work requirements on coverage and enrollment.
This fact sheet provides state-by-state estimates of Medicaid expansion adults who could lose coverage in 2026 if federal work requirements are implemented.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This blog provides an overview on a bill passed in the House of Representatives to estimate the effects of implementing work requirements for Medicaid coverage.
This report analyzes the potential coverage losses from Medicaid work requirements based on two state examples.
This brief estimates insurance rates for uninsured young adults in 2024 and encourages states to engage with them to boost enrollment.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
This blog highlights how health coverage improves health outcomes and financial security on health insurance enrollees.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog summarizes new guidance from CMS' updated SHO letter, specifically relating to CHIP.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This brief examines the implementation of postpartum coverage extensions in five states and identifies key considerations for ensuring extended coverage translates to the use of comprehensive services.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog reviews five examples of how Medicaid can contribute to improving outcomes for people in the criminal legal system.
That's Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog reviews a discussion where multiple state agencies discuss ways to engage the community health worker (CHW) workforce for programs supporting justice-involved individuals.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog reviews the new notice of funding opportunity for planning grants to state Medicaid and CHIP agencies to develop operational capabilities to support the continuity of care for individuals eligible for Medicaid and CHIP who have been incarcerated.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
The Tennessee lawsuit alleged four major types of failures by the state.
This annotated bibliography compiles academic research and grey literature sources that explain and provide analysis of the underlying factors and root causes that may contribute to inequities in Medicaid.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
In this webinar, experts provide a detailed overview of CMS' guidance in the State Health Official (SHO) letter offering states the option to provide full-scope Medicaid and CHIP services to justice-involved eligible children and youth.
This blog offers an overview of current disability data collection standards, including how states collect self-reported disability information on Medicaid applications.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog reviews what can be anticipated from the upcoming release of the Census Bureau’s 2023 survey data in September based on current Medicaid unwinding statistics.
This blog offers insight and consideration for states as they implement sections 5121 and 5122 of the Consolidated Appropriations Act, 2023 (CAA).
This commentary shares how Medicaid covered Shari's home living assistant, allowing her to work and live independently.
This blog reviews how many states across the nation are using videos to demonstrate helpful concepts related to enrolling in and renewing Medicaid and CHIP coverage.
This blog discusses extended timelines for states to process Medicaid renewals, the importance of reporting renewal outcomes, and updates to renewal data.
This blog covers some of the quintessential outreach efforts performed by states to inform and educate individuals about Medicaid and CHIP benefits.
This map gives a detailed description of the status of each state's coverage program or initiative for non-citizens, the vehicle through which the program has been established, if the program provides limited coverage only, and if the program has not yet been implemented for.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog details why state agencies can and should post relevant enrollment and eligibility information on social media platforms to connect with those eligible for Medicaid/CHIP.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog reviews changes to the Medicaid and CHIP programs to streamline enrollment for eligible individuals.
This commentary examines what 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 under the Access Rule.
The first blog in this new series identifies landing pages for online Medicaid, CHIP, and marketplace application portals in each state and links to the application that can be printed and returned by mail.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog reviews changes to the Managed Care Rule, where the CMS updated the definition and oversight of ILOS in important ways that should both increase the flexibility to use ILOS as a tool for improving health and increase the integrity of ILOS spending.
This inaugural post highlights state activity from March and April 2024.
During this webinar, experts from Manatt Health provided an overview of the provisions in both rules regarding access monitoring, enrollee engagement, provider payment transparency, and HCBS.
This blog examines new data for January 2024, which was the last month of the 2024 Open Enrollment Period in nearly all states.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This first episode in a new season of the podcast highlights the importance of Medicaid to the millions of people living in rural communities across the country.
This paper uses administrative data reported by states to CMS to examine how the unwinding impacted children’s enrollment in Medicaid and CHIP in 2023.
This report exhibits the findings from the Marketplace Affordability Project that examined the causes of high out-of-pocket healthcare costs for low-income marketplace enrollees and identified federal policy solutions.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog examines research on continuous Medicaid coverage and mental health among mothers and infants in the postpartum year.
This blog offers guiding principles state agencies can implement to meet the new federal requirements and integrate Medicaid members into the policymaking and program design process effectively and equitably.
This report summarizes and examines the content of the most recent final rule from CMS.
The survey series provides an in-depth view of health plans’ responses regarding risk mitigation, disenrollment, and outreach.
During this webinar, experts from Manatt Health reviewed key Medicaid and CHIP provisions in the final rule and discussed considerations for state policymakers.
On April 2, 2024, the Centers for Medicare & Medicaid Services (CMS) released the final Notice of Benefit and Payment Parameters (NBPP) for 2025. This annual rule governs core provisions of the Affordable Care Act (ACA), including operation of the health insurance Marketplaces, standards for health plans, insurance brokers (including web-brokers), and the risk adjustment program. This blog focuses on provisions of the final rule of interest to state officials.
In this blog, the Georgetown University Center for Children and Families analyzes recent survey findings regarding the impact of Medicaid unwinding and enrollees' experiences.
In this blog, The Georgetown University Center for Children and Families outlines and expands on the 10 "Do Nots" outlined in the bulletin.
A new Health Affairs blog describes the cultural shift in Medicaid managed care post-COVID-19 to address the social needs of enrollees.
The Center for Children and Families (CCF) at Georgetown University analyzed data on which states are taking longer than the federally regulated 45 days to process Medicaid applications for low-income children, families, and adults. This blog takes a look at some of the states taking longer than their allotted 45 days and the possible reasons behind it.
In this blog CCF analyzes CMS data on marketplace enrollment from November, 2023.
This blog discusses resources to help state Medicaid leaders partner to connect more program enrollees with the WIC benefits they are qualified to receive.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog examines how gaps in coverage are affecting California families, particularly those that have children with special healthcare needs, and steps the state can take to renew coverage for more families.
This commentary shares the story of Linda from Connecticut, who was able to access life-saving preventive services that enabled her to return to work.
This blog compared states' ex parte rates from their first month of unwinding to the most recent to identify whether progress has been made.
This blog examines a Q&A, which is intended to serve as an added resource for states implementing continuous eligibility.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
On December 18, 2023, the Centers for Medicare & Medicaid Services (CMS) released a suite of Medicaid unwinding-related guidance and enrollment data that includes a focus on ensuring eligible children maintain Medicaid and Children’s Health Insurance Program (CHIP) coverage. In conjunction with CMS’ release, the United States Department of Health and Human Services (HHS) sent letters to the governors of nine states with the highest child disenrollment rates.
This blog from State Health & Value Strategies reviews the HHS letters and discusses specific resources available to states as the unwinding continues.
This blog examines states' unwinding data, variation in reporting of indicators, and data dashboards.
This commentary tells the story of Lauren from Oregon, who helps individuals enrolled in Medicaid access produce from local farms to ensure they are eating healthy and nutritious foods.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
That’s Medicaid shares stories of people covered by Medicaid at critical points in their lives, underscoring the importance of stable health insurance coverage to building a nationwide Culture of Health.
This blog shares a new report that offers policy recommendations to ensure new mothers are able to access coverage and high-quality care during the postpartum period.
This report shares findings with policy implications for how counts of the uninsured should be interpreted while highlighting the importance of policies that promote Medicaid enrollment and retention.
This blog shares data on how states are monitoring the impacts of the resumption of eligibility redeterminations and disenrollments.
This blog tracks trends in adult health insurance coverage rates as states “unwind” the Medicaid continuous coverage requirement.
BDT compared two groups with similar demographic characteristics – where one group was enrolled in SNAP and the other was not – and the data showed that the people participating in SNAP incurred healthcare costs that were 16% lower and pharmacy costs that were 21% lower.
This blog shares why Marketplace plans will likely be an alternative source of health coverage for only a modest number of people, especially for children, who lose their Medicaid coverage due to unwinding.
This blog shares individual-level surveys of people who were enrolled in Medicaid during the continuous coverage requirement to help answer whether people are gaining employer-sponsored insurance (ESI) upon leaving Medicaid coverage and why some successfully renewed while others could not.
This blog reviews state processes that are underway to ensure eligible children who are losing Medicaid coverage are transitioning to CHIP.
This brief examines trends in healthcare affordability and estimates changes during the COVID-19 pandemic and the years leading up to it for two affordability measures.
This blog discusses how data dashboards can be useful for states to make proactive decisions about what data to release and on what schedule and then organize that data in an easy-to-digest visual format that facilitates the interpretation of key coverage trends.
This blog examines and maps states that are using publicly available dashboards to share key data points as they monitor enrollment transitions throughout the unwinding.
This blog examines states' plans to publish a data dashboard to monitor progress.
This blog discusses that, while there are many factors that may affect the scale of coverage losses from procedural disenrollments, one of the significant concern is notices.
This blog discusses how new CMS approvals in Oregon and Washington will protect health coverage for children and families during this Medicaid unwinding, minimizing coverage disruptions and easing transitions to new sources of health coverage.
The blog discusses parameters for reentry 1115 demonstrations.
This blog explores the updated model and its' three primary goals to risk adjustment.
This blog discusses how states have initiated plans to publish a data dashboard to monitor unwinding progress.
This blog discusses opportunities and considerations to utilize strategies to minimize coverage loss as states reinstate Medicaid redeterminations.
This blog discusses actions government officials have been taking to promote continuity of coverage to minimize the number of people who become uninsured or face a gap in coverage.
This report examines the quality of race and ethnicity data for Medicaid/CHIP-enrolled children in the 2018 and 2019 TAF.
This report estimates the effects and costs of two national policies that would limit the financial burdens of premiums for Part B and Part D faced by Medicare enrollees with low incomes.
This blog discusses how some states have initiated plans to publish a data dashboard to monitor progress given the intense focus on coverage transitions during the unwinding.
This blog examines three key strategies Benefits Data Trust believes will help streamline the transition for government staff and Medicaid recipients.
With support from the Robert Wood Johnson Foundation, the State Health Access Data Assistance Center (SHADAC) at the University of Minnesota School of Public Health is leading a multi-phased project to assess whether identifying a set of key equity-related indicators and populating them into a centralized “Medicaid Equity Monitoring Tool” could be a helpful, feasible, and reliable way of tracking and advancing health equity in Medicaid.
This factsheet shares the federal financial incentives for Medicaid expansion remaining available to non-expansion following the conclusion of the continuous coverage requirement. .
This blog provides a checklist of actions state-based Marketplaces and state departments of insurance can take to reduce gaps in coverage and minimize disruptions in care.
This blog highlights updates to the Center On Health Insurance Reforms' Navigator Resource Guide to help consumers and enrollment assisters during the unwinding.
This publication presents a checklist that provides an overview of the minimum redetermination requirements states must follow, and identifies some common red flags that may indicate failures by the Medicaid agency to meet those requirements.
As states prepare to unwind the COVID-19 pandemic-related Medicaid continuous coverage requirement and resume terminations of coverage as soon as April 1, this blog examines how they could streamline eligibility determinations for older adults and people with disabilities, who face unique challenges with the Medicaid enrollment and renewal process.
This blog highlights the benefits of using federal matching funds to help states hire more people, raise wages, and temporarily bring back retired workers, and pay overtime.
This blog reviews a new report that explores the high stakes for children when the continuous coverage protection expires.
This commentary shares the story of Leah and her work ensuring that members of her community receive the support they need with the assistance of Medicaid.
This blog outlines the relevant reporting requirements that were included in the CAA and the corresponding reporting guidance provided by CMS.
On January 26, 2023, the Centers for Medicare & Medicaid Services (CMS) approved California’s request to provide a targeted set of Medicaid services to youth and adults in state prisons, county jails, and youth correctional facilities for up to 90 days prior to release.
This blog covers key considerations to account for as the unwinding begins, including a newly announced special enrollment period (SEP).
This blog highlights state strategies to maximize continuity of coverage for consumers coming off Medicaid and needing to transition to the marketplace.
This Q&A style blog discusses ex parte redeterminations in which Medicaid officials attempt to make a redetermination of an individual’s eligibility based on available data, without requiring additional information from the individual.
This commentary shares how Medicaid covered Barbara's son's mental healthcare after he was diagnosed with bipolar and oppositional defiant disorder.
This blog delves into specific actions states can take to minimize gaps in coverage for consumers who become ineligible for Medicaid.
This report breaks down the estimate that if the PHE expires in April 2023, 18.0 million people will lose Medicaid coverage in the following 14 months.
This brief provides estimates on the effects and costs of three national policies that would limit the financial burdens faced by low-income Medicare enrollees.
This report can help states design and implement effective Medicaid PBP models.
This blog discusses Rhode Island's new program that will automatically enroll consumers determined ineligible for Medicaid into a qualified health plan offered through HealthSource RI, the state’s health insurance marketplace.
This blog is part of a series on unwinding strategies for states and highlights ideas from earlier works on issues like continuity of care, health equity implications, etc., and offers new ones for states to consider to support continuity of coverage.
This survey offers findings and insights that can help inform efforts led by Medicaid health plans and state agencies to meet enrollees' needs post-COVID.
This webinar reviews COVID-19 flexibilities within Medicaid and what lies ahead in returning to normal eligibility and enrollment processes.
This commentary shares the story of Natalie and her family. Natalie was born with a disability but access to Medicaid has allowed her to live her best life possible, at home with her parents.
This brief provides information on strategies to improve maternal health outcomes and synthesizes research about the national state-of-play across four domains: maternal health models, quality improvement, workforce and benefits, and eligibility and enrollment/coverage expansion.
This blog provides an overview of a study that analyzed the relationship between SNAP participation and health outcomes among more than 115,000 North Carolina residents who were 65 and older.
This blog discusses how Benefits Data Trust is supporting North Carolina and Washington over the next two years in achieving the ambitious goals they have set to increase access to Medicaid and social service benefits.
This blog discusses how, given gaps in access to dental insurance and providers, state health policy is an important area for achieving oral health equity.
This blog discusses state-level health policies that that will support this population moving forward, from legislation to regulations.
This commentary discusses how Medicaid supported Susie when she learned her young daughter Tymia was diagnosed with sickle cell disease.
This blog discusses the contents of the Public Charge Final Rule.
This commentary shares how Medicaid supported Matthew with the medical care and behavioral health services he needed for his anxiety and post-traumatic stress disorder.
This report used data from the Urban Institute’s Health Reform Monitoring Survey to assess changes between 2019 and 2022 in the share of adults ages 18 to 64 reporting they were insured for the full 12 months before each survey.
The ACA’s guarantee of free access to preventive services is at risk. If it is ultimately struck down as unconstitutional as the result of a court case that is winding its way through the federal judicial system, Congress will be the only entity that can act to codify and fully restore its benefits. However, there are some actions states can take. This brief explores what state-level health officials can do to mitigate the fallout of the preventive services provision being struck down.
This issue brief reviews proactive strategies that states can deploy to support postpartum individuals in maintaining health coverage and access to care when the Medicaid continuous coverage guarantee ends and beyond.
This commentary tells the story of how Medicaid guided Alicia through her pregnancy and the birth of her son while incarcerated.
This commentary tells the story of John, who turned to Medicaid for health coverage to treat a strangulated hernia.
The blog analyzes Medicaid community-based palliative care benefits that several states are developing to advance palliative care.
This blog evaluates performance indicators that provide a window into how efficiently state Medicaid programs process their Medicaid Modified Adjusted Gross Income and CHIP applications.
When the PHE ends, state Medicaid agencies will redetermine eligibility for as many as 80 million enrollees. This blog analyzes how states can coordinate and sequence communications with clear messaging to inform enrollees about what is happening.
This toolkit is designed to help states develop a procurement process focused on improving program performance in specific areas valued by the state.
This report provides excerpts of health disparities and health equity language from Medicaid managed care (MMC) contracts and requests for proposals (RFPs) from 17 states and the District of Columbia. The criteria for inclusion in this compendium are contracts and RFPs that explicitly address health disparities and/or health equity.
The webinar aimed to bring together those in states who have implemented social risk factor screening measures for incentive use in managed care contracts.
This blog explores how states can use Medicaid data to quantify tobacco use within this population, identify related best practices, and make recommendations for scaling.
This report examines the cost and coverage effects of lowering the age of Medicare eligibility from 65 to 60.
In this brief, researchers explore what will happen to healthcare spending if the American Rescue Plan Act Premium Tax Credits expire.
This toolkit contains a table that can be used by a state to examine current ex parte processes and identify and deploy additional strategies that could increase their ex parte rates.
This blog, the first in a two-part series, outlines strategies state Medicaid agencies can take to identify people with high health needs and provide them with additional support to retain or transition their health coverage in order to maintain access to essential healthcare services.
This blog analyzes the Centers for Medicare & Medicaid Services' final rules for provider network adequacy standards in the federal healthcare marketplaces and Medicaid.
For years, Medicaid leaders have faced a mounting children’s behavioral health crisis — made worse by the pandemic. In this episode of the Medicaid Leadership Exchange podcast, three Medicaid leaders discuss the behavioral health needs of children and opportunities for Medicaid to better support those needs.
This blog compares the standards for network adequacy in Medicaid with those in the marketplaces.
This map and chart highlight dental benefits for general adults and pregnant populations enrolled in Medicaid.
This blog examines how policymakers can increase access to abortion services.
In this podcast, Medicaid Leadership Exchange, former Medicaid directors explore what they would prioritize now and into the future when the Medicaid public health emergency unwinds — and where blind spots may lie.
This commentary tells the story of Sonia, whose adopted son has developmental disabilities and requires frequent medical testing to stay healthy.
In this Health Affairs blog post, Nancy Archibald, MHA, MBA, CHCS’ Associate Director for Federal Integrated Care Programs, outlines perspectives from state Medicaid officials on the federal policies that have advanced Medicare-Medicaid integration, and areas where they believe additional federal policy actions are needed.
This update to the methodology documentation for the Urban Institute’s Health Insurance Policy Simulation Model explains how they estimated health coverage in 2023, taking into account major uncertain issues such as Medicaid enrollment after the HHS public health emergency and the potential expiration of enhanced premium tax credits for Marketplace coverage in 2023.
This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period. (Under the Families First Coronavirus Response Act, Medicaid enrollees who typically lose coverage after 60 days postpartum cannot be disenrolled until the end of the month in which the public emergency period ends.)
This toolkit is designed to help state and local WIC agencies leverage data from Medicaid and SNAP to measure enrollment gaps and increase enrollment using tools to plan, launch, and/or strengthen data matching and targeted outreach to eligible families who are not receiving WIC benefits.
At the end of the Pubic Health Emergency, more than 15 million people may become uninsured if they cannot secure alternate sources of health coverage. This blog provides actions states should carefully consider to ensure that stakeholders, including insurers, are facilitating these critical transitions.
This blog explores how states can work with The Program of All Inclusive Care for the Elderly (PACE) and its organizations to provide a comprehensive, fully integrated package of Medicare and Medicaid services to elderly individuals who require a nursing home level of care.
This blog answers questions about the ACA's "family glitch," a flawed regulatory interpretation that has created barriers to coverage. The current administration is currently working to correct this interpretation that prevents 4.8 to 5 million individuals from accessing more affordable health insurance.
This blog discuss the important role that ACA marketplaces will play in mitigating coverage losses as they prepare for the end of the Public Health Emergency and identifies basic as well as more innovative strategies marketplaces can adopt to help consumers make a smooth transition to affordable, comprehensive coverage.
This blog explores how states are working to prepare for the end of the Public Health Emergency with the goal of modernizing benefits access to Medicaid, SNAP, and WIC rather than returning to pre-pandemic practices.
This toolkit highlights opportunities for states to leverage managed care plans to support unwinding the Medicaid continuous coverage requirement.
This blog explores how Iowa Medicaid program implemented a town hall program that successfully integrates member and stakeholder perspectives into it's program and policy design.
This commentary tells the story of Sabrina, who plans to become a doctor, and how her experience as a Medicaid recipient informed how she sees the U.S. health care system.
This blog provides model comments developed to inform and support state responses to the Centers for Medicare & Medicaid Services' RFI to achieve substantial reforms on access to coverage–namely, the processes for enrollment and eligibility redeterminations.
This map provides eligibility levels for states’ Medicaid and Children’s Health Insurance Program coverage for pregnancy.
This blog, briefly reviews the research regarding the Medicaid undercount in the CPS, provides estimates of how it varies across states in 2020, and discusses the impact of assigning single coverage for those with multiple sources on the Medicaid undercount in the CPS.
This commentary tells the story of Margot C., who has limited mobility due to rheumatoid arthritis, fibromyalgia, and a spinal cord injury. Medicaid provided her housing in a residential care setting that her private insurance could not provide. Now, Margot helps her peers sign up for Medicaid.
This blog summarizes the new reporting requirements and presents a set of considerations for states as they begin implementing new unwinding policies, procedures, and reporting.
This brief reviews the regulatory framework for network adequacy for Medicaid Managed Care Organizations and Marketplace qualified health plans and identifies policies and practices to ensure their networks include the number and mix of providers that enrollees need.
This commentary tells the story of Maddy K., a 23-year-old who has Asperger syndrome who is able to work two part-time jobs, volunteer frequently, and be part of a community organization for those with disabilities because of Medicaid's ability to provide her with essential transportation.
This brief examines significant challenges and solutions identified by state health officials to mitigate coverage losses.
This blog provides takeaways from the Massachusetts One Care Program, highlighting the impact of engaging members with disabilities in care planning and strategies that health systems and payers can use to advance health equity through improved engagement with people with disabilities.
This commentary tells the story of Dominique G., who spent most of her life in hospitals due to sickle cell disease. Medicaid coverage provided her regular hematologist visits, appropriate equipment and medications to make living at home possible.
This Databook provides a comprehensive, detailed look at Medicaid enrollment trends from the beginning of the COVID-19 pandemic through November 2021 and enrollment detail by state across four eligibility categories:
Expansion adults
Children (including those enrolled in CHIP)
Non-expansion adults
Aged, blind, and disabled individuals
This blog provides an overview of the Centers for Medicare & Medicaid Services' RFI regarding the federal standards that govern access to care in Medicaid and the Children’s Health Insurance Program.
This blog highlights key themes and topics that governors across the country reflected upon during their state-of-the-state addresses.
This blog profiles Indiana’s plans to launch Medicaid managed long-term services and supports in 2024, under which a majority of participants are expected to be dually eligible individuals.
This issue brief examines the current status of data collection to assess Medicaid enrollment and retention, summarizes potential forthcoming reporting requirements, and describes some of the best practices states should consider when developing a data dashboard to display this type of information.
This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.
This blog examines the Centers for Medicare and Medicaid Services' newly released State Health Official letter providing guidance on the scope of and enhanced payments for qualifying community-based mobile crisis intervention services for Medicaid enrollees experiencing a mental health or substance use disorder crisis.
This toolkit highlights opportunities for states to leverage managed care plans to support unwinding the Medicaid continuous coverage requirement.
This blog examines how state officials are actively planning for the eventual end of the Medicaid continuous coverage requirement that is currently associated with the federal COVID-19 public health emergency and enhanced federal Medicaid matching funds.
This toolkit is a resource for state policymakers interested in strategies to address the problem of prescription drug prices.
This commentary tells the story of Alicia, whose Medicaid-assigned doula guided her through pregnancy while in incarceration and the birth of her son.
This report examines how many immigrant families have avoided safety net and pandemic relief programs in recent years over concerns that their participation would have adverse immigration consequences.
This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.
This issue brief explores opportunities for state Medicaid agencies to implement performance measures with contracted care entities that could strengthen their growing interest in social care and highlights several barriers to those applications.
This map features how states are using these one-time funds to support transitions from institutional settings into the community through housing navigation, employment placement, assistance with transition costs and other social determinant supports, as well as by investing in affordable and accessible housing for home-and community-based services populations to remain within the community.
This brief describes current use of and spending on routine vision and hearing services among all Medicare beneficiaries and select subgroups.
This brief highlights key state actions to increase cancer screening for adults covered by Medicaid and improving health outcomes.
The brief focuses on actions Medicaid agencies can pursue through their managed care programs or directly with provider organizations and highlights state interventions and collaborations that demonstrate promise in reducing disparities and begin to center equity in birth-related health policies.
This webinar provide an overview of strategies for states seeking to ensure that eligible enrollees are able to keep or transition to new affordable health coverage when the Medicaid continuous coverage requirement ends.
This report estimates increases in federal subsidies under two provisions of the Build Back Better Act that would flow to people below the federal poverty limit in the 12 states that have not expanded Medicaid (people in the “Medicaid gap”).
This webinar reviewed steps states can take to integrate health equity into their Medicaid managed care programs.
This brief examines how state Medicaid and public health programs can advance health equity for the communities they serve, especially for people of color, working both within their agency and through cross-agency partnerships.
This brief examines the information technology system, policy, and operational strategies states can consider to update key enrollee contact information to ensure eligible enrollees are able to keep or transition to new affordable health coverage at the end of the public health emergency.
This issue brief reviews state Medicaid/Children's Health Insurance Program agency data and information technology system “table stakes”—strategies that will have the highest impact for states seeking to ensure that eligible enrollees are able to keep or transition to new affordable health coverage when the Public Health Emergency continuous coverage requirements end.
This journal article assesses the impact of the Affordable Care Act (ACA) Medicaid expansion on coverage and access to care for a subset of low-income parents who were already eligible for Medicaid when the ACA was passed.
This report aims to estimate the Medicaid enrollment trends once the COVID-19 public emergency ends and policies prohibiting disenrolling beneficiaries are nullified.
This brief documents how information describing sexual or gender minority populations is currently collected at the federal level and in Medicaid.
This webinar discusses the research on how Medicaid saves lives, reduces costs, and helps eliminate racial and ethnic health disparities.
This report examines policies to improve continuous postpartum coverage after the COVID-19 public health emergency ends.
This webinar shared findings from a published Manatt Health issue brief for SHVS on Medicaid’s role in combating the maternal mortality crisis.
This infographic examines how expanded coverage has saved lives, reduced health care costs, narrowed racial disparities, and provided peace of mind to those who would otherwise have been uninsured.
This resource page compiles the latest Robert Wood Johnson funded research on the benefits of closing the Medicaid coverage gap.
This report provides updated excerpts of health disparities and health equity language from Medicaid managed care contracts and requests for proposals from 15 states and the District of Columbia as well as the contract for California’s state-based marketplace, Covered California.
This blog examines how states and other stakeholders have another chance to weigh in on Tennessee’s 10-year Medicaid funding demonstration which was approved by the Centers for Medicare & Medicaid Services in early January during the final days of the Trump administration.
This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.
This op-ed provides arguments for Medicaid expansion in Wyoming from the perspective of provider organizations.
This op-ed, authored by David Schaefer of the Georgia Budget Policy Institute, argues that closing the Medicaid coverage gap in Georgia will also increase access to health care and strengthen health infrastructure in rural communities.
This op-ed argues for Medicaid Expansion in the North Carolina, highlighting the success Virginia had in extending access to health care through its expansion.
This op-ed argues the need for Kansas to expand its Medicaid program to close the "coverage gap".
This blog post outlines the potential coverage gains, state cost savings, and improved health outcomes that would occur if the remaining 12 nonexpansion states extending their Medicaid programs in accordance with the Affordable Care Act.
This brief highlights the stories of people with Down syndrome who have benefited from Medicaid coverage.
These digital tools examine and compare physician acceptance of new Medicaid patients at the state level and by physician and practice characteristics.
This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.
This blog examines how Minnesota’s Medicaid expansion was a crucial resource during the COVID-19 pandemic for those who lost their jobs and/or their employer-sponsored health insurance coverage. It is estimated that approximately 29,500 Minnesotans lost their private health insurance coverage between April 2020-July 2020.
This podcast describes how the past year has seen many sectors of health care increasingly pursue diversity, equity, and inclusion efforts as health equity becomes a more prominent topic.
This podcast describes how critical conversations about health equity can be productive when there is a shared and agreed-upon language amongst Medicaid agencies.
This brief examines how enrollment gains in public insurance helped offset declines in employer-sponsored insurance during the COVID-19 pandemic. Unlike previous recessions, the uninsurance rate did not change.
This presentation examines the affect of the COVID-19 pandemic on historically under-served populations and strategies to increase Medicaid outreach and enrollment within these communities.
This blog describes how the American Rescue Plan Act expanded access to affordable health insurance coverage in a variety of ways.
This commentary examines how in late June, the U.S. Department of Health and Human Services (HHS) issued its first proposed rule governing the health insurance markets and marketplaces.
This report examines how a public option that typically pays Medicare rates would considerably reduce the cost of increasing coverage in the Medicaid gap.
This report assesses racial disparities in the quality of inpatient care using 11 patient safety indicators that measure rates of adverse patient safety events of hospital-acquired illnesses or injuries.
This commentary explains the federal government’s goal of reducing new HIV infections by 90% by 2030, the CDC has identified two policy strategies that states can employ for HIV prevention – provision of Pre-Exposure Prophylaxis medication and availability of Syringe Service/Exchange Programs.
This podcast covers how effective data measurement is critical for Medicaid programs seeking to advance health equity and better understand different experiences of populations served by the program.
This commentary examines how Washington implemented the nation’s first public option for the 2021 plan year and in the first six months of 2021, states made significant progress in advancing public option proposals, with public option legislation advancing in Colorado, Nevada, and Oregon.
This commentary examines how recent approval of the Alzheimer’s drug Aduhelm under the U.S. Food & Drug Administration’s Accelerated Approval Program is controversial for a range of reasons, including its projected impact on state Medicaid budgets which will be required to cover the drug, priced at $56,000 a year, despite inconclusive evidence of its clinical effectiveness.
This commentary analyzes how the U.S. Departments of Health & Human Services and Treasury have released a proposed rule governing the Affordable Care Act health insurance marketplaces and insurance standards for the plan year 2022.
This chart details the amounts and required oversight of COVID-19 federal funds allocated to hospitals, providers, and states by the Families First Coronavirus Response Act (Families First Act), the Coronavirus Aid, Relief, and Economic Security Act (CARES Act), the Paycheck Protection Program and Health Care Enhancement Act (HR 266), the Consolidated Appropriations Act, 2021, and the American Rescue Plan Act of 2021.
This commentary explains that on June 17 the Supreme Court decisively rejected California v. Texas, the latest lawsuit before the Court that challenged the legality of the Patient Protection and Affordable Care Act of 2010.
This chart demonstrates how states are using a variety of approaches to provide doula services within their Medicaid programs to address inequities.
This brief describes Nevada's new public option that is intended to provide consumers with comprehensive, but lower cost health insurance.
This blog post highlight's the Virginia Department of Medicaid Services' efforts, successes, and challenges in building a culture of equity.
This podcast discusses how People who live in rural areas often experience health disparities caused by barriers to health care, such as lack of transportation, a shortage of providers, and closures of rural hospitals.
This brief highlights the stories of people with heart conditions who have benefited from Medicaid coverage.
This issue brief documents how states are collecting information about race, ethnicity, and language on their Medicaid applications.
This blog examines the interest in the potential timeline for Medicaid expansion in the remaining states after the passage of the American Rescue Plan Act.
This brief highlights the stories of people who have benefited from Medicaid coverage during the COVID-19 pandemic.
This presentation outlines the key provisions of the Medicaid program.
This report includes a collection of summarized evidence on how Medicaid can improve the health of states' residents and communities.
This journal article describes patterns of perinatal uninsurance and health outcomes of women experiencing uninsurance.
This series of policy briefs include evidence-based recommendations to help people through the immediate health and economic crises and longer-term recommendations to ensure a fair and just opportunity for health.
This commentary tells the story of Michael, who supported his family with Medicaid coverage after 26 years as an educator with employer-sponsored insurance.
The ten most-visited resources on StateNetwork.org during 2020.
This commentary explores the impact of Medicaid expansion during the COVID-19 pandemic and associated job losses.
This toolkit provides a detailed look at 2020 Medicaid enrollment trends, including enrollment details by state across four eligibility categories.
This report examines Kentucky and Virginia's adapted outreach efforts to help make enrollment as easy as possible to ensure access to critical coverage and care.
This commentary explores how states have been required to make numerous changes to their eligibility and enrollment systems, operations, and policies, in order to comply with the enhanced Federal Medicaid Assistance Percentages.
This commentary recommends specific steps for state Medicaid programs to ensure state residents receive needed services during the COVID-19 pandemic, with a specific focus on Medicaid managed care organization (MCO) enrollees.
This journal article focuses on how state-level Medicaid program flexibility and emergency waivers can expand Medicaid financial eligibility for long-term supports and services for at-risk individuals.
This report examines the implications if the outstanding 15 states chose to expand Medicaid eligibility in 2020.
This report uses new enrollment data to examine insurer type enrollment trends from 2016-2018.
This report documents access and affordability challenges facing uninsured new mothers using 2015–18 data from the National Health Interview Survey (NHIS). It also uses 2015–17 data from the Pregnancy Risk Assessment and Monitoring System (PRAMS) to describe the health status of women who lost Medicaid coverage following their pregnancies.
This report shows how the additional levels of unemployment insurance provided through the Federal Pandemic Unemployment Compensation program affects eligibility for subsidized coverage in expansion and nonexpansion states.
This toolkit provides an overview for states of various coverage pathways for individuals, including those who are uninsured, in need of COVID-19 testing and treatment.
This infographic highlights what states need to consider when providing pregnancy-related services to Medicaid enrollees through telehealth during the pandemic.
This commentary discusses the states that have rapidly amended their Medicaid home- and community-based services for older adults and their family caregivers to ensure access to long-term services and supports during the COVID-19 crisis.
This report studies New Hampshire’s Medicaid work requirement program to understand how it was implemented and why it appears to fail to protect coverage and promote work.
These were the ten most-visited resources on StateNetwork.org during 2019
This report explores what child care challenges parents with Medicaid work requirements may face, and suggests parents may struggle to find care that is affordable, good quality, accessible, and available for nontraditional or unpredictable work schedules.
This brief explores state variation in health insurance coverage changes during implementation of the primary health insurance coverage reforms of the Affordable Care Act (ACA) using data from the 2013 and 2017 American Community Survey.
This webinar reviewed the Department of Homeland Security's final version of its public charge rule, highlighted changes from the proposed rule, and explored the rule’s potential impacts on consumers, states and providers.
Using the American Community Survey, the brief presents that uninsurance increased by 0.2 percentage points between 2016 and 2017 despite a strong economy, meaning 700,000 more uninsured Americans.
This report shares insights from in-depth interviews with 25 adults in immigrant families who reported that they or a family member avoided participating in safety net programs like Medicaid, SNAP, or housing assistance in 2018 because of immigration concerns.
This commentary shares how Medicaid helped Tom gain access to mental health and kidney cancer treatment, enabling him to get back on his feet after a personal tragedy resulted in him losing his career.
This short video explains the difference between Medicaid and Medicare.
This short video explains how Medicaid has expanded its coverage to cover roughly 1 in 5 Americans.
This short video explains the effect of Medicaid on children's health.
This brief examines the prevalence of precarious work schedules among working adults whose families participate in federal safety net programs, using data from the December 2018 Well-Being and Basic Needs Survey.
This study assesses potential barriers facing Medicaid enrollees in meeting work requirements through employment on a sustained basis, using pooled data from the September 2018 and March 2019 Health Reform Monitoring Survey.
This report explores the effects of Kentucky’s reinstatement of work-related time limits on the SNAP participation of able-bodied adults without dependents between January 2017 and September 2018.
This report examines monitoring and evaluation of work/CE demonstrations and reviews the data assets and infrastructure necessary to support states and their researcher partners in robust monitoring and evaluation efforts.
In this interview with Louisiana's Medicaid Director Jen Steele, she shares her approach to leveraging Medicaid’s role to improve health outcomes and health equity.
This brief reviews the role that social and economic factors--such as housing, healthy food, and income--play in a “whole person” approach to health care, especially among Medicaid’s low-income enrollees.
MACPAC's 2018 Medicaid and CHIP Data Book is a collection of federal and state statistics regarding the Medicaid and CHIP programs.
These were the five most-visited resources on StateNetwork.org during 2018.
The Department of Homeland Security’s (DHS) proposed rule, Inadmissibility on Public Charge Grounds, proposes significant changes to how it will determine whether an immigrant is likely to become a “public charge” including, for the first time, the use of Medicaid benefits as a key factor in that analysis.This resource answers popular questions about the rule.
This resource highlights articles published since January 2018 that report on the impact of Medicaid expansion in 33 states and DC, organized by health access and outcomes, economic impacts, and coverage impacts.
This report explores changes in coverage type between 2013 and 2016 overall and for key demographic and income subgroups. Between 2013 and 2016, the share of Americans ages 64 and younger without health insurance fell from 17 percent to 10 percent.
This report provides detailed estimates of changes in health insurance coverage types between 2013 and 2016 by demographic, socioeconomic, and geographic characteristics. In addition, state fact sheets detail coverage changes by income group in all 50 states and DC.
CMS approved state work/community engagement (CE) waivers in Arkansas, Indiana, Kentucky, and New Hampshire; and additional states have submitted or are poised to submit similar waivers. This series of charts outlines the legal, policy, financial and operational tasks and issues that states will face in adding a work/CE condition to their Medicaid program.
This report investigates the work patterns of Medicaid beneficiaries in Kentucky who are are potentially subject to Medicaid work requirements. It finds that the structure of Kentucky’s Medicaid waiver does not seem to align with the reality of some working enrollees’ lives, and that working enrollees losing coverage may not have access to an employer plan.
This webinar reviews the Stewart v. Azar decision and potential implications for states with approved, pending or planned Medicaid waivers that include work/community engagement requirements. The court’s findings may shape what analysis will be necessary to demonstrate that future waivers advance the Medicaid statute's objectives.
Webinar discusses the status of state efforts to secure waivers to use federal Medicaid funding to provide care in Institutions for Mental Disease (IMD), including the requirements states must meet to secure an IMD waiver; the status of requests and approvals; and issues and opportunities arising as states pursue and increasingly implement the IMD waiver.
States continue to identify and pursue strategies to further reduce the number of uninsured to make coverage more affordable for consumers and to improve access to care. This issue brief presents two possible models for a Medicaid buy-in program for states, and details the design considerations and authorities needed to implement each model.
An analysis of what would happen if the remaining 19 states that have not expanded Medicaid did so.
We assessed rates of employer health insurance offer, take-up, and coverage in June 2013 and March 2017 among workers. Overall, offer rates remained stable, and take-up and coverage rates increased. In Medicaid expansion states, the share of workers with family incomes at or below 138 percent of the federal poverty level who had employer-based coverage held steady, while uninsurance rates declined.
This map tracks state Medicaid expansion decisions and approaches states are taking for expanding eligibility to 138 percent of the Federal Poverty Level. It also includes information on state legislative activity around Medicaid expansion, governors’ stances on the issue, and fiscal and demographic analyses from the state or other institutions. For states that are expanding Medicaid, but using an alternative to traditional expansion, the map also contains brief descriptions of these demonstration waivers.
In January 2018, the Centers for Medicare & Medicaid Services issued a new policy allowing states to implement work and community engagement requirements for certain Medicaid enrollees. States are permitted to seek federal approval to require non-elderly, non-pregnant, and non-disabled adults to participate in these types of activities to qualify for Medicaid or certain aspects of Medicaid coverage. This chart summarizes states’ pending and approved Section 1115 waivers, waiver renewals, and waiver amendments to implement work and community engagement requirements.
In this brief, we provide an overview of the lessons learned from work requirements for Temporary Assistance for Needy Families (TANF, or cash assistance) and Supplemental Nutrition Assistance Program (SNAP, formerly Food Stamps) and discuss the implications of introducing or expanding work requirements.
This article analyzes the impact of the Affordable Care Act on health insurance coverage for verterans in states that chose to expand Medicaid and in non-expansion states using data from the 2013 and 2014 American Community Survey. The analysis found a substantial 24 percent relative decline in the rate of uninsurance for U.S. veterans between 2013 and 2014. Coverage gains in rural areas were due to gains in Medicaid and individual market coverage. The increase in the insured rate was three times larger in Medicaid expansion states versus non-expansion states.
In January 2018, CMS approved Kentucky’s Section 1115 Medicaid demonstration waiver, which allows the state to require some beneficiaries to participate in “community engagement” activities for at least 80 hours a month to retain their Medicaid coverage. This brief revises an earlier analysis on who could be affected by Kentucky’s Medicaid work requirements based on new information posted on Kentucky’s website.
On January 11, CMS released a State Medicaid Director letter providing guidance for states seeking 1115 waivers that condition Medicaid eligibility on work and community engagement, quickly followed by approval of Kentucky’s 1115 waivers that include these requirements. In this webinar, State Health and Value Strategies and Manatt Health review the new guidance, including key design parameters, budget neutrality requirements, and monitoring and evaluation criteria.
On January 11, 2018, CMS released guidance for states seeking 1115 waivers that condition Medicaid eligibility on work and community engagement, quickly followed by approval of Kentucky’s 1115 waivers that include these requirements. Both the new guidance and recent waiver approval represent a significant departure from past Administrations’ positions. This webinar reviews the new guidance and discusses state legal, policy, and operational considerations.
Uncertainty about the future of health insurance options and concern about the ability of Affordable Care Act (ACA) marketplaces to offer adequate competition and choice have spurred states to look for new coverage approaches. Innovative strategies states are proposing include allowing consumers to buy into state Medicaid programs and developing state-specific coverage options within the ACA’s framework.
This webinar features the Urban Institute's Dr. Fred Blavin, whose SHARE-funded research asks how medical spending burdens for near-poor families in non-expansion states would change if the states were to expand Medicaid.
CMS has signaled a willingness to evaluate new types of Medicaid proposals from states, such as Medicaid waiver applications that include programs to connect individuals to employment or incorporate features of private market coverage. In response to CMS’ letter, some states have developed proposals that include these types of requirements for certain individuals covered by the Affordable Care Act’s Medicaid expansion—and a few states are seeking similar changes for their non-Medicaid expansion populations.
In this report, researchers estimate the impact of the ACA Medicaid expansion on uninsured rates of poor, childless adult citizens, by age, gender, race, income, education, and health.
While the focus of debate regarding repeal of the Affordable Care Act (ACA) has been on Marketplaces and the Medicaid expansion, myriad other provisions of the ACA are at risk of repeal—including those that streamline Medicaid eligibility and enrollment systems and implement a national, simplified standard for income eligibility. As of January 2016, 37 states are able to complete an eligibility determination in real time, defined as less than 24 hours, and among these, 11 states report that at least half of their applicants receive an eligibility determination in real time. The future of the ACA’s streamlined eligibility and enrollment-related provisions and the system improvements states have invested in to implement them are the subject of this issue brief.
In this brief, we explore two revenue sources states may deploy to fund the non-federal share of expansion: provider assessments and provider donations. Both are authorized by federal law and both have been used by states in connection with expansion.
