Strengthened Tool to Address Health-Related Social Needs: The New Medicaid Managed Care Regulation’s “In Lieu of Services” Explained
Georgetown Center For Children and Families
by Hannah Green
3d ago
Medicaid managed care plans have long covered “In Lieu of Services” (ILOS), which are services that are provided in substitution of traditional Medicaid state plan services. For example, a managed care plan might provide a community-based depression screening in lieu of an office visit screening. In 2016, CMS first defined the contours of ILOS in ..read more
Visit website
New Rule Seeks to Improve Transparency of State Medicaid Provider Payment Rates
Georgetown Center For Children and Families
by Kelly Whitener
4d ago
CMS recently finalized two key regulations: “Ensuring Access to Medicaid Services” (Access Rule) and “Medicaid, CHIP Managed Care Access, Finance, and Quality” (Managed Care Rule), aimed at improving access to care in Medicaid across delivery systems (fee-for-service and managed care) and authorities (state plan and waiver services). The rules are long and complex; we’ve summarized ..read more
Visit website
Delaware and Tennessee Become First States to Cover Diapers for Young Children in Medicaid through Section 1115 Demonstrations
Georgetown Center For Children and Families
by Allexa Gardner
5d ago
Last week, CMS announced the approval of section 1115 demonstration project requests from Delaware and Tennessee to provide diapers to young children covered by Medicaid. These approvals mark the first time a state has been authorized to cover diapers for infants in Medicaid regardless of medical necessity due to incontinence issues. Under federal statute, section ..read more
Visit website
Medicaid Managed Care: Results of the PHE Unwinding for the Big Five in Q1 2024
Georgetown Center For Children and Families
by Andy Schneider
5d ago
It’s now been four corporate reporting quarters since the start of the PHE unwinding on April 1, 2023. During that time, net national Medicaid enrollment—the combination of disenrollments from redeterminations, re-enrollment by some of those terminated, and new enrollments—has fallen by 13.1 million, including 5.0 million children. Of the disenrollments, 70 percent have been for ..read more
Visit website
Consolidated Appropriations Act, 2024: Medicaid and CHIP Mental Health and Substance Use Disorder Provisions Explained
Georgetown Center For Children and Families
by Anne Dwyer
5d ago
Download the Full Report Here On March 9, 2024, President Biden signed into law the Consolidated Appropriations Act, 2024 (P.L. 118-42). The Consolidated Appropriations Act, 2024 (CAA 2024) includes a number of Medicaid and Children’s Health Insurance Program (CHIP) provisions related to mental health and substance use disorder (SUD) care and coverage including provisions extending ..read more
Visit website
New Brief Unpacks Medicaid and CHIP Mental Health and Substance Use Disorder Provisions in 2024 Government Funding Package
Georgetown Center For Children and Families
by Anne Dwyer
1w ago
May is Mental Health Awareness Month. And with Medicaid (alongside the Children’s Health Insurance Program) serving as the largest payer of behavioral health services and covering more than half of all children in the US, you can’t talk about mental health without also talking about Medicaid and CHIP. In March 2024, President Biden signed into ..read more
Visit website
A Closer Look at Transparency in the Medicaid Managed Care Rule
Georgetown Center For Children and Families
by Andy Schneider
1w ago
The Medicaid Managed Care Rule published on May 10 has lots of moving parts. As my colleague Leo Cuello explains, the rule includes provisions to increase the transparency of state directed payments (SDPs). The rule also contains a number of other transparency requirements that are the focus of this blog, most of which are identical to those ..read more
Visit website
Federal Task Force Releases National Strategy to Improve Maternal Mental Health Care, Includes Medicaid Policies
Georgetown Center For Children and Families
by Anne Dwyer
1w ago
This week the Task Force on Maternal Mental Health released a national strategy to improve maternal health care and an accompanying report to Congress. The federal interagency task force was created under the Consolidated Appropriations Act, 2023 for purposes of identifying, evaluating, and making recommendations to coordinate and improve federal activities related to addressing maternal ..read more
Visit website
New Data on Child Medicaid/CHIP Coverage by School District Now Available
Georgetown Center For Children and Families
by Aubrianna Osorio
1w ago
By: Aubrianna Osorio, Emma Ford, Anne Dwyer, and Margaux Johnson-Green Following last week’s celebrations of Teacher Appreciation Week, new data on the share of children with Medicaid/CHIP coverage are now available for more than 7,000 school districts nationwide. In the median school district across the 50 states, Washington, DC, and Puerto Rico, more than 1 ..read more
Visit website
Idaho Medicaid/CHIP Coverage by School Districts, 2018-2022
Georgetown Center For Children and Families
by CCFadmin
1w ago
..read more
Visit website

Follow Georgetown Center For Children and Families on FeedSpot

Continue with Google
Continue with Apple
OR