Medicaid

This issue brief presents early findings from the most recent KFF 50-state survey of Medicaid HCBS programs, focusing on state policies adopted in response to the pandemic, the pandemic’s impact on Medicaid HCBS enrollees and providers, and states’ early plans for the new American Rescue Plan Act (ARPA) 10 percentage point temporary increase in federal Medicaid matching funds for HCBS.

CMS released a SHO letter with updated guidance to assist states in planning for resuming normal state Medicaid, CHIP, and BHP operations for the eventual end of the public health emergency. The SHO provides updated guidance regarding the extended timeframe for states to complete pending work in eligibility and enrollment to up to 12 months after the PHE ends and redetermination of eligibility requirements states must complete after the PHE for all beneficiaries before taking adverse actions.

On August 3, 2021 CMS published a proposed rule that would rescind a 2019 policy change prohibiting reassignment of certain Medicaid payments. The rule would re-instate a policy that was first established in 2014 allowing payments to third parties when Medicaid program is the primary source of revenue for the provider. CMS is accepting comment on the proposed rule until September 28, 2021.

NASHP has published an Appendix K interactive map, supported by The John A. Hartford Foundation, to track each state’s new flexibilities in modified 1915 (c) and 1115 waivers. States are using these waivers and amendments to ensure that their older adults and family caregivers are receiveing the LTSS services they need during the pandemic.

The Center for Health Care Strategies, with support from the Lucile Packard Foundation for Children’s Health, conducted a 50-state survey and a set of interviews to gauge the broad range of engagement strategies being used by Medicaid agencies. This report highlights key findings from the survey, including engagement themes, challenges, and recommendations for Medicaid agencies that can have lasting impact on outcomes, quality, equity, and cost.

This episode of the Medicaid Leadership Exchange podcast discusses ways to address inequities in Medicaid. Ben Shaffer, Medicaid Director at the Rhode Island Executive Office of Health and Human Services, and Kelly Cunningham, Interim Medicaid Administrator at the Illinois Division of Medical Programs, Department of Healthcare and Family, will be sharing how effective data measurement is critical for Medicaid programs to advance equity and better understand the populations served.

Ranking Member Tim Scott (R - S.C.) sent a letter to the Centers for Medicare and Medicaid Services (CMS) calling for improvements in Medicaid HCBS. The letter asks CMS to describe their efforts to combat fraud and their efforts to create a set of standard quality measures.

This publication from Health Management Associates analyzes the approaches that Medicaid programs in DC, Idaho, Maine, Washington and Alabama used to coordinate Medicare and Medicaid services without standalone Medicaid MLTSS programs. The paper focuses on Medicaid and Aging agencies overseeing programs that provide long-term services and supports fee for service and explores effective methods to coordinate and integrate care with Medicare Advantage Dual Eligible Special Needs Plans.

On Tuesday, July 6, 2021, CMS released the Quality Report to Congress identifying efforts undertaken to improve the quality of health care for children and adults enrolled in Medicaid and the Children’s Health Insurance Program (CHIP). The report provides information on activities undertaken between 2017 and 2019, including changes in performance in the quality measures included in the Medicaid and CHIP Child and Adult Core Sets.

On June 24, 2021, the Better Care Better Jobs Act, S. 2210, was introduced in the United States Senate and referred to the U.S. Senate Committee on Finance. The bill would expand access to home and community-based services (HCBS) by providing $100 M for states to expand access to Medicaid HCBS and strengthen the HCBS workforce, and provide states a 10% increase in the Medicaid Federal Medical Assistance Percentage (FMAP) for HCBS.