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CMS Issues Guidance on Renewal Timeliness Post-Unwinding

On August 29, 2024, the Centers for Medicare & Medicaid Services (CMS) released a Center for Medicaid & Children’s Health Insurance Program (CHIP) Services (CMCS) Informational Bulletin (CIB) and an accompanying slide deck to...more

New CMS Guidance on the Provision of Medicaid and CHIP Services to Incarcerated Children and Youth

This is an excerpt from a recent Manatt article published on State Health & Value Strategies. Click here to download insight. On July 23, 2024, the Centers for Medicare & Medicaid Services (CMS) released a State Health...more

CMS Finalizes Sweeping Regulations for Medicaid Access, Managed Care, and HCBS

On Monday, April 22, the Centers for Medicare & Medicaid Services (CMS) released two highly anticipated final rules. Together, these rules reshape the federal regulatory landscape for Medicaid and the Children’s Health...more

Advancing Health Equity: State Medicaid Actions to Ensure Access to Gender-Affirming Care

The transgender, or trans, community experiences stark health disparities resulting from discrimination, violence, stigma and a lack of culturally competent providers. Compared with the general U.S. population, trans...more

Achieving a Racially and Ethnically Equitable Health Care Delivery System in Massachusetts: A Vision and Proposed Action Plan

OVERVIEW - This report proposes a vision and plan for action—collectively a statewide Health Equity Action Plan—for achieving a racially and ethnically equitable health care delivery system in Massachusetts. The report is...more

Issue Spotting Common Policy and Operational Barriers to Ex Parte Renewals: State Assessment Tool

Introduction - Many states are actively working to make changes to their systems to enable ex parte renewals at the individual level and implement mitigation strategies to ensure eligible Medicaid and Children’s Health...more

Massachusetts’ Cutting-Edge Health Equity Initiatives

Editor’s Note: In a recent "State Spotlight" for The Robert Wood Johnson Foundation, reprinted below, Manatt Health discusses the investments and efforts that the Commonwealth of Massachusetts is making to promote health...more

Call Center Strategies to Support Unwinding: State Toolkit

Five months into the unwinding of the federal Medicaid continuous coverage requirement, states continue to work through an unprecedented volume of eligibility and enrollment actions, while also contending with growing...more

CMS Approves WA’s 1115 Waiver with Health-Related Social Needs & Justice-Involved Initiatives

On June 30, 2023, the Centers for Medicare & Medicaid Services (CMS) approved Washington’s five-year Section 1115 demonstration renewal, the Medicaid Transformation Project 2.0 (MTP 2.0 or Demonstration). Through its renewed...more

Recent Updates to Section 1115 Waiver Budget Neutrality Policy: Overview and Implications for States

Editor’s Note: Section 1115 Medicaid demonstrations enable states to develop innovative programs for improving the health and well-being of Medicaid enrollees. Long-standing federal policy requires that 1115 waivers be...more

Creating a Robust, Diverse, and Resilient Behavioral Health Workforce in Massachusetts

The behavioral health workforce in Massachusetts is in crisis. The COVID-19 pandemic has increased the prevalence of behavioral health issues and demand for services, exposing and aggravating the vulnerabilities of...more

Leveraging Section 1902(e)(14) Waiver Authority Amid Unwinding

Editor’s Note: In a new expert perspective prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, reproduced below, Manatt Health outlines the time-limited targeted enrollment...more

Improving Ex Parte Renewal Rates: State Diagnostic Assessment Tool

Editor’s Note: In a new expert perspective prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, Manatt Health provides a table that states can use to examine current ex parte processes...more

Ensuring Continuity of Coverage for High-Need Enrollees When Medicaid Continuous Coverage Ends

Editor’s Note: The current Medicaid continuous coverage requirements enacted by the Families First Coronavirus Act (FFCRA) prohibit states from disenrolling individuals from Medicaid for the duration of the public health...more

The End Of The Federal Continuous Coverage Requirement In MassHealth: Key Strategies For Reducing Coverage Loss

INTRODUCTION - Like all states, Massachusetts received enhanced federal Medicaid funding under the Families First Coronavirus Response Act (FFCRA), the first major federal stimulus package passed by Congress in response to...more

Centering Health Equity in Medicaid: Section 1115 Demonstration Strategies

Longstanding structural racism and related health inequities experienced by people of color further laid bare by the COVID-19 pandemic have mobilized leadership in many states to take action on health equity. Structural...more

Centering Health Equity in Medicaid Section 1115 Demonstrations: A Roadmap for States

Longstanding structural racism and related health inequities experienced by people of color further laid bare by the COVID-19 pandemic have mobilized leadership in many states to take action on health equity. Structural...more

Racism and Racial Inequities in Health

Editor’s Note: In a new primer developed for the Blue Cross Blue Shield of Massachusetts Foundation, Manatt Health creates a foundational resource to broaden the collective understanding of racial and ethnic health inequities...more

Supporting Health Equity and Affordable Health Coverage for Immigrant Populations: CHIP Coverage Option for Pregnant Immigrants...

Access to affordable health coverage and healthcare is critical for pregnant individuals and translates to better outcomes for their children. Immigrants who are subject to Medicaid’s five-year bar or who are undocumented are...more

Racism and Racial Inequities in Health: A Data-Informed Primer on Health Disparities in Massachusetts

The COVID-19 pandemic laid bare long-standing racial and ethnic health inequities and disparities across America, including in Massachusetts. Black and Hispanic people in Massachusetts have been disproportionately impacted by...more

Assessing the Fiscal Impact of Medicaid Expansion in Mississippi

I. Introduction - Since 2014, states have had the option to expand Medicaid eligibility to most adults with incomes under 138 percent of the federal poverty level (FPL; approximately $30,300 in annual earnings for a family...more

The End of the COVID-19 PHE: Data and IT ‘Table Stakes’ for Retaining Coverage Gains

Editor’s Note: In a new issue brief prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, Manatt Health reviews state Medicaid and Children’s Health Insurance Program (CHIP) agency…...more

The End of the COVID-19 Public Health Emergency: Data and IT “Table Stakes” for Retaining Coverage Gains

Following the expiration of the Public Health Emergency (PHE), states will resume normal eligibility and enrollment activities for all enrollees in Medicaid and the Children’s Health Insurance Program (CHIP). The volume of...more

State Strategies to Prepare for PHE Unwinding: Updating Addresses and Responding to Returned Mail

Editor’s Note: At the end of the public health emergency (PHE), people currently enrolled in Medicaid and the Children’s Health Insurance Program (CHIP) are at risk of losing their coverage unless state Medicaid/CHIP agencies...more

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