Medicaid

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Rates of Medicaid Churn and Continuous Coverage Among Children and Working-Age Adults with Disability-Related Eligibility

This publication finds meaningful variation in disenrollment and churn across Medicaid beneficiary categories. Specifically, beneficiaries with Supplemental Security Income-related eligibility have low rates of disenrollment and high rates of reenrollments. In this research, Mathematica uses data from the Transformed Medicaid Statistical Information System Analytic File to examine rates of disenrollment, churn, and continuous coverage among categories of children and adult Medicaid beneficiaries whose eligibility is related to a disability.

Short URL: http://www.advancingstates.org/node/74310

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Long-Term Care Policy Guide for State Policymakers

The Commonwealth Fund has published a compilation of state successes in transforming long-term care as a resource to support policymakers. This policy guide is the result of a nine-month partnership between CSG and the Commonwealth Fund. Subject matter experts and stakeholders from Arizona, Georgia, Hawaii, Indiana, Minnesota, New York, Pennsylvania and Virginia examine the following focus areas in long-term care: Addressing State Regulation of Long-Term Services and Supports Facilities; Optimizing American Rescue Plan Act Spending on Home- and Community-Based Services Under Medicaid; and Revitalizing the Direct Care Workforce and Supporting Family Caregivers.

Short URL: http://www.advancingstates.org/node/74303

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CMS Issues an Informational Bulletin on the Provisions Included in the Consolidated Appropriations Act, 2023

On January 5, 2023 CMS released an Informational Bulletin providing further guidance on the Medicaid eligibility provisions in the recently-enacted Federal budget (Consolidated Appropriations Act of 2023). The CAA permits states to begin terminating Medicaid eligibility for current recipients on April 1, 2023 and provides gradually-decreased FMAP increases through December, 2023. This IB is the first in a series of written guidance from CMS on these provisions, focusing first on revised key due dates for certain state eligibility redetermination deliverables and activities.

Short URL: http://www.advancingstates.org/node/74297

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CMS Releases 2022 Access Request for Information Report and Supporting Documents

On December 20, 2022 CMS released a report summarizing the public comments it received in response to the 2022 Request for Information (RFI): Access to Coverage and Care in Medicaid & CHIP. CMS framed the RFI questions across three dimensions of health care access: (1) enrolling in coverage, (2) maintaining coverage, and (3) accessing services and supports. This report includes counts of comments, types of respondents, summaries of common themes across objectives, and cross-cutting findings.

Short URL: http://www.advancingstates.org/node/74288

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2022 Edition of MACStats: Medicaid and CHIP Data Book

The Medicaid and CHIP Payment and Access Commission (MACPAC) released the 2022 edition of the MACStats: Medicaid and CHIP Data Book, with updated data on national and state Medicaid and State Children’s Health Insurance Program (CHIP) enrollment, spending, benefits, and beneficiaries’ health, service use, and access to care. As of July 2022, almost 90 million people were enrolled in Medicaid or CHIP.

Short URL: http://www.advancingstates.org/node/74280

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NAMD Highlights the Importance of Partnerships in the Medicaid Community

This blog post from Mathematica discusses the importance of partnerships between states and the federal government through highlighting topics covered at NAMD's 2022 conference. Sessions touched on innovations developed as part of recently approved 1115 demonstrations in Arizona, Massachusetts, Oregon, and Arkansas which focused on the ways states are providing whole-person care by addressing the health-related social needs of members. The post also explores Mathematica's work with CMS and states to build stronger measurement and evaluation infrastructure for a broad range of demonstrations, including those addressing substance use disorder, mental illness, and health-related social needs.

Short URL: http://www.advancingstates.org/node/74271

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State Medicaid Budget Survey: Medicaid Enrollment & Spending Growth FY 2022 and 2023

KFF’s new state Medicaid budget survey anticipates Medicaid enrollment will begin to decline in FY 2023, following the end of the COVID-19 public health emergency (PHE). The 22nd annual survey finds that states expect growth in Medicaid enrollment to slow to 8.4 percent in FY 2022 (down from 11.2 percent the previous year) before declining by 0.4 percent in FY 2023.

Short URL: http://www.advancingstates.org/node/74191

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Developing a Payment and Spending Strategy to Advance Health Equity: Checklist for Medicaid Decision-Makers

This brief includes a checklist of eight key questions that can help state purchasers and other payers develop a robust payment and spending strategy focused on advancing health equity. Each question includes concrete state examples for adopting health equity-focused payment methods. This brief is a product of Advancing Health Equity, a national initiative supported by the Robert Wood Johnson Foundation that is working with states to pursue payment innovations that support health equity.

Short URL: http://www.advancingstates.org/node/74181

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Supporting Technology-Enabled Innovation in Medicaid Managed Care to Improve Quality and Equity: State Considerations

This brief explores design considerations and policy levers Medicaid agencies may consider for encouraging uptake of tech-enabled innovation within Medicaid managed care. The brief is a product of the Medicaid Innovation Collaborative, which brings together Medicaid programs, their managed care plans, and other stakeholders to spread tech innovations that can improve the health of Medicaid populations. The collaborative is led by Acumen America, Adaptation Health, and the Center for Health Care Strategies and supported by The MolinaCares Accord, CommonSpirit Health, and Hopelab.

Short URL: http://www.advancingstates.org/node/74083

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