Biden Administration Adds Protections to Keep Children Covered in CHIP
Georgetown Center For Children and Families
by Joan Alker
16h ago
Today’s announcement of the final federal regulation “Streamlining the Medicaid, Children’s Health Insurance Program, and Basic Health Program Application, Eligibility Determination, Enrollment, and Renewal Processes” eliminates outdated red tape barriers to coverage for children insured through the Children’s Health Insurance Program (CHIP) that have been in place since its inception in 1997. It is high ..read more
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Call Center Data Shows Trends Across States, But May Not Provide Full Picture
Georgetown Center For Children and Families
by Ella Mathews
16h ago
Before the unwinding began, Tricia Brooks highlighted why call center data would be an important piece of the puzzle in understanding how states’ returns to routine operations were going. Reporting call center data, along with other data reporting requirements enacted by the Consolidated Appropriations Act, 2023 (CAA) help CMS track how the unwinding is going ..read more
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A Profile on Mississippi’s Low-Wage Uninsured Workers (Updated March 2024)
Georgetown Center For Children and Families
by Joan Alker
16h ago
Download Full Report (PDF) Introduction Mississippi remains one of only ten states in the nation that have not yet accepted enhanced federal Medicaid funding to cover low-income adults with incomes up to $20,783 per year1. In addition to a permanent enhanced federal match of 90% that is available to states to cover this group, the ..read more
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Child Enrollment in the Marketplaces Rose by Nearly 40 Percent During 2024 Open Enrollment but Increase Offsets Only Modest Share of Child Medicaid Unwinding Enrollment Losses
Georgetown Center For Children and Families
by Edwin Park
3d ago
On March 22, 2024, the Centers for Consumer Information and Insurance Oversight (CCIIO) at the Centers for Medicare and Medicaid Services (CMS) released more detailed information on the nearly 21.5 million people — a historic high by far — who enrolled in the Affordable Care Act’s marketplaces during the 2024 Open Enrollment Period. According to ..read more
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A Deeper Dive into Florida’s Lawsuit Seeking to Undermine the New Requirement for 12-Months Continuous Eligibility for Children in Separate State CHIP Programs
Georgetown Center For Children and Families
by Edwin Park
3d ago
As my colleague Joan Alker explains, the state of Florida recently sued the federal government to block guidance from the Centers for Medicare and Medicaid Services (CMS) implementing the new requirement that all states provide 12-months continuous eligibility for children in Medicaid and the Children’s Health Insurance Program (CHIP) as of January 1, 2024.  Specifically ..read more
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Medicaid Managed Care Appeals and Grievances:  GAO Takes a Look
Georgetown Center For Children and Families
by Andy Schneider
1w ago
Last week, GAO issued a performance audit of data on Medicaid MCO appeals and grievances. The database GAO examined was the first year of Managed Care Program Annual Reports (MCPARs) submitted by state Medicaid agencies to CMS.  MCPARs are one of three reports on which CMS relies to conduct oversight of state managed care programs ..read more
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Latest House Republican Study Committee Budget Plan Again Includes Draconian Medicaid Cuts
Georgetown Center For Children and Families
by Edwin Park
1w ago
On March 20, 2024, the Republican Study Committee (RSC), whose members comprise more than three-quarters of the House Republican caucus, announced its fiscal year 2025 budget plan.  The budget plan proposes to cut total federal Medicaid, Children’s Health Insurance Program (CHIP) and Affordable Care Act marketplace subsidy spending by nearly 54 percent over the next ..read more
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CMS Informational Bulletin Calls Out 10 “Do Nots” in Conducting Renewals
Georgetown Center For Children and Families
by Hannah Green
1w ago
In an Informational Bulletin (CIB) released on March 15, 2024, CMS reminds states of their obligation to comply with all existing federal renewal requirements in Medicaid and CHIP. The CIB is the result of questions CMS has received from states, stakeholders, and external partners regarding the permissibility of certain renewal practices. The CIB describes 10 ..read more
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Medicaid Managed Care: Congress Falls Short on Medical Loss Ratios
Georgetown Center For Children and Families
by Andy Schneider
1w ago
On March 9, the President signed into law the Consolidated Appropriations Act, 2024 (P.L. 118-122). Buried in the 428-page text is a 3-line provision delightfully, if somewhat obscurely, titled “Promoting Value in Medicaid Managed Care.” This is a classic in the genre of offsets, flying well under the radar to carry out its mission of ..read more
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Medicaid and CHIP Provisions in Biden Administration’s Fiscal Year 2025 Budget
Georgetown Center For Children and Families
by Edwin Park
1w ago
On March 11, the Biden Administration issued its budget plan for fiscal year 2025. Based on budget documents from the Office of Management and Budget (OMB) and the Department of Health and Human Services (HHS), here’s a brief summary of the budget’s major provisions related to Medicaid and the Children’s Health Insurance Program (CHIP), along ..read more
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