CMS final rule aims to simplify Medicaid, CHIP enrollment, coverage
- A new CMS final rule, the “Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes” rule, aims to modernize and optimize the Medicaid enrollment process, according to a press release from CMS. The rule was proposed in...
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Medicaid disenrollments surpass 18M, exceeding HHS projections
The Families First Coronavirus Response Act required Medicaid to provide continuous coverage for beneficiaries throughout the COVID-19 pandemic. With disenrollments paused, Medicaid and the...Medicaid Health Plan Will Reimburse Health Equity Certification
Meridian Health Plan of Illinois, Inc.—a wholly-owned subsidiary of Centene Corporation that offers Medicaid coverage—announced that it will cover part of the fee hospitals must pay to...Continuous Medicaid eligibility during PHE improved postpartum coverage
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Less than three in ten primary care physicians participating in Medicaid also participated in an average marketplace network, raising concerns about continuity of care for beneficiaries disenrolled...HHS Will Provide Technical Assistance to States Addressing Homelessness
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After the public health emergency (PHE) ended, many federal regulations that facilitated access to COVID-19 vaccines, treatments, and tests expired. While some policies may still apply, coverage...States Leverage Waivers To Support Medicaid Redetermination
States flocked toward ex parte renewals and contact information update waivers to support Medicaid redetermination processes after the coronavirus public health emergency ended, a KFF brief found. For...NY Medicaid Section 1115 Waiver Amendment Improves Access to Care
CMS has approved an amendment to New York State’s Medicaid section 1115 waiver that will address health disparities and improve access to primary and behavioral healthcare, Governor Kathy Hochul...Does Integrating Medicare and Medicaid Improve Care for Dual Eligibles?
Integrating Medicare and Medicaid coverage for dual eligible beneficiaries was associated with higher use of home- and community-based services (HCBS) but did not reduce hospitalization or improve care...HHS Urges States to Reduce Medicaid, CHIP Child Disenrollments
The Department of Health and Human Services (HHS) is urging states to employ federal strategies to help reduce child disenrollments from Medicaid and the Children’s Health Insurance Program...Sponsored Article
Leveraging Social Determinants for Medicare, Medicaid Engagement
Medicare and Medicaid populations encounter significant obstacles to care because of social determinants of health, such as economic instability, lack of transportation, isolation, and food...What Health Plans Are Available For People With Disabilities?
Public and private payers alike offer a multitude of benefits for people living with disabilities. According to the CDC, up to 27 percent of adults in the United States have some type of disability, including mobility, cognition,...Sponsored Article
How to Tailor Member Engagement for Medicare, Medicaid Populations
Healthcare spending in the US is on a fast track. Federal actuaries expect total expenditures to reach $7.2 trillion by 2031, with Medicare and Medicaid spending projected to increase rapidly. For...How Do Payers Cover Prenatal, Postpartum Care for Pregnant People?
Prenatal, perinatal, and postpartum care help ensure healthier pregnancies and better birth outcomes for pregnant people. Access to this essential care comes easier with adequate health insurance. Pregnant people are almost guaranteed...Sponsored Article