CMS

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for September 2015 on Medicaid and CHIP application, eligibility, and enrollment data. States provides data to CMS on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.

The Centers for Medicare & Medicaid Services (CMS) published a new report that shows the premium rebate record since 2011. The Affordable Care Act requires that health insurance companies spend a minimum of 80% of premium dollars on health care, resulting in $2.4 billion in consumer rebates since 2011. CMS' results indicate that consumers are receiving a higher value for their premium dollars as a result of the Medical Loss Ratio (MLR), 80/20 rule.

States provides data to the Centers for Medicare & Medicaid Services (CMS) on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly. Data collection for this project began in October 2013 and is reported monthly. Enrollment reached 72.4 million people for Medicaid and CHIP in August 2015.

The annual 2013 Medicaid Managed Care Enrollment Report created by the Division of Managed Care Plans and the Data and Systems Group in the Center for Medicaid and CHIP Services at CMS, with assistance from Mathematica Policy Research, was released this week. Data on Medicaid enrollment is collected from every state, territory, and the District of Columbia, and is broken down into categories by program, population, and state. The report provides tables with nationwide data and data by state.

The Medicare Board of Trustees released their annual report to Congress on the financial operations and actuarial status of Medicare on July 22, 2015. The report included a projection indicating that the trust fund will remain solvent until 2030, which is 13 years longer than the 2009 prediction. Medicare covered 53.8 million people last year and the report provides a break down of the expenditures of each individual part of Medicare and its overall cost.

The Community First Choice (CFC) HCBS plan of California has been approved by the Centers for Medicare & Medicaid Services. CFC is authorized under 1915(k) of the social security act, and is often called a 1915(k) state plan option. This file contains the approved SPA pages of the California State Plan.

CMS developed a web page of resources for integrated care available for health plans and providers. CMS has been supporting efforts to build provider and health plan capacity to deliver more integrated and coordinated care to Medicare-Medicaid enrollees. These resources are targeted to various types of organizations, including behavioral health providers, health plans, long-term service & support providers. Review the technical assistance and actionable tools developed.