News & Analysis as of

Public Health Emergency Enrollment

King & Spalding

Biden Administration Streamlines CHIP and Medicaid Enrollment, Expands Protections for Covered Population

King & Spalding on

Last week, the Biden-Harris administration (the Administration) announced a new rule simplifying the process for enrolling in Medicaid, the Children’s Health Insurance Program (CHIP), and the Basic Health Program (BHP)....more

Sheppard Mullin Richter & Hampton LLP

Continuity in Coverage: CMS Extends the Unwinding SEP & Issues Final Rule for Medicaid and CHIP Enrollment

On March 28, 2024, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), announced that it is extending the temporary special enrollment period (the Unwinding SEP)...more

McDermott+

Enforcing State Redeterminations of Medicaid Eligibility

McDermott+ on

As we continue to “unwind” from the COVID-19 public health emergency (PHE), we are still very much in a transition period. Many of the policies that beneficiaries, providers, plans and states came to rely on during the...more

Groom Law Group, Chartered

The End of the COVID-19 Public Health Emergency and National Emergency Are Near – Are You Ready?

The COVID-19 Public Health Emergency (“PHE”) and National Emergency (“NE”) have been in place since early 2020.  In January 2023, President Biden stated his intention for both to end on May 11, 2023.  There have been many...more

Warner Norcross + Judd

Benefit Plan Guidance for the End of the Public Health Emergency and “Outbreak Period”

With President Joseph Biden’s administration having announced its intent to end the presidential COVID-19 National Emergency on May 11, 2023, and with the COVID-19 Public Health Emergency ("Public Health Emergency") set to...more

Haynsworth Sinkler Boyd, P.A.

What Employers Need to Know About Special Enrollment for Employees Formerly on Medicaid

The expanded Medicaid and CHIP coverage offered during the COVID-19 public health emergency ended March 31, 2023, and employees and dependents who were participating in the expanded government-provided health insurance were...more

Bressler, Amery & Ross, P.C.

The New Jersey Department of Banking & Insurance Honors a Special Enrollment Period Due to Medicaid Unwinding Subsequent to the...

As part of the federal response to the COVID-19 pandemic, under the COVID-19 Public Health Emergency (“PHE”) and the Families First Coronavirus Response Act (“FFCRA”), NJ FamilyCare (also referred to as Medicaid) has...more

King & Spalding

GAO Releases Report and Recommendations to CMS to Address Risks Posed by Provider Enrollment Waivers and Flexibilities Implemented...

King & Spalding on

On December 19, 2022, the U.S. Government Accountability Office (GAO) released a report titled, “Medicare: CMS Needs to Address Risks Posed by Provider Enrollment Waivers and Flexibilities” (GAO-23-105494). The report...more

Manatt, Phelps & Phillips, LLP

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

Manatt, Phelps & Phillips, LLP

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

McDermott Will & Emery

CMS Resumes Provider and Supplier Enrollment Activities Paused During Pandemic

McDermott Will & Emery on

The Centers for Medicare and Medicaid Services (CMS) has started phasing out certain program flexibilities granted during the COVID-19 public health emergency. Beginning in October 2021, CMS will resume several provider and...more

Manatt, Phelps & Phillips, LLP

Medicaid Enrollment Trends During the COVID-19 Pandemic

Medicaid has seen significant increases in enrollment across all states since the outbreak of the COVID-19 pandemic. According to the latest data from the Centers for Medicare and Medicaid Services (CMS), total Medicaid...more

Mitchell, Williams, Selig, Gates & Woodyard,...

Expiration of Arkansas' Public Health Emergency

Since the COVID-19 public health emergency was initiated in Arkansas in March 2020, Governor Asa Hutchinson has repeatedly renewed the emergency order, maintaining the public health emergency for fourteen (14) months. ...more

Manatt, Phelps & Phillips, LLP

Tracking Medicaid Enrollment Growth During COVID-19 Databook

As much of the nation’s economic activity ground to a halt at the beginning of the COVID-19 pandemic, millions of people lost jobs and many also lost their job-based healthcare coverage. Based on the experience in other...more

Manatt, Phelps & Phillips, LLP

Maintaining Medicaid and CHIP Coverage Amid Postal Delays and Housing Displacements

In light of recent postal delays and housing displacements caused by the COVID-19 pandemic, the related economic crisis and a wave of natural disasters across the country, state Medicaid and Children’s Health Insurance...more

Dorsey & Whitney LLP

COVID-19 and Provider Enrollment: CMS issues FAQs About the Broad 1135 Waiver

Dorsey & Whitney LLP on

On Monday, March 23, 2020, the Center for Medicare and Medicaid Services (“CMS”) released Frequently Asked Questions on Medicare Provider Enrollment Relief related to COVID-19 (“FAQs”), available here. The recent Public...more

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