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
10/27/2021
/ Children's Health Insurance Program (CHIP) ,
Coronavirus/COVID-19 ,
Data Management ,
Families First Coronavirus Response Act (FFCRA) ,
Infectious Diseases ,
Information Technology ,
Managed Care Contracts ,
Medicaid ,
Open Enrollment ,
Patient Access ,
Public Health Emergency ,
Relief Measures
The Big Picture -
On August 10, 2021, a Missouri circuit court ruled that Missouri can no longer delay Medicaid expansion. This order follows the July 22, 2021 unanimous Missouri Supreme Court ruling that ordered the state...more
8/12/2021
/ American Rescue Plan Act of 2021 ,
Ballot Measures ,
Biden Administration ,
FMAP ,
Health Insurance ,
Healthcare Reform ,
Low-Income Issues ,
Medicaid ,
MO Supreme Court ,
State Constitutions ,
State Funding
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
9/30/2020
/ Centers for Disease Control and Prevention (CDC) ,
Children's Health Insurance Program (CHIP) ,
Coronavirus/COVID-19 ,
Eligibility ,
Enrollment ,
Families First Coronavirus Response Act (FFCRA) ,
Federal Funding ,
Health Care Providers ,
Medicaid ,
Public Health Emergency ,
SNAP Program
Children with special healthcare needs are children who have, or are at increased risk of having, a chronic physical, developmental, behavioral or emotional condition and who also require health and related services of a type...more
Medicaid covers about half of all children with special healthcare needs in the U.S., playing a central role in addressing the complex physical and behavioral challenges of this particularly vulnerable population. Although...more
How can state Medicaid agencies, families, advocates, providers and other stakeholders partner to improve access to services for Medicaid-enrolled children with special healthcare needs? Find out during a new webinar from...more
9/20/2019
/ Best Practices ,
Continuing Legal Education ,
EPSDT ,
Health Care Providers ,
Healthcare ,
Low-Income Issues ,
Medicaid ,
Medical Necessity ,
Special Needs Children ,
State Medicaid Programs ,
Webinars
With many states expanding Medicaid eligibility, individuals leaving jail or prison are now often able to enroll in health coverage upon release. It is increasingly clear, however, that coverage alone is insufficient to...more
On June 7, 2018, Virginia joined 32 other states and the District of Columbia in expanding Medicaid under the Affordable Care Act to adults with incomes at or below 138% of the federal poverty level (FPL). After rejecting...more
The importance of connecting justice-involved populations to health coverage and care is evident from the high levels of physical and behavioral health issues they experience. Compared with the general population, people in...more
Securing the Safety Net for America's Vulnerable Populations -
Editor's Note: America's population is aging rapidly. By 2029, 75 million baby boomers will have reached age 65 and older, and older adults will represent...more
2/22/2017
/ Aetna ,
Affordable Care Act ,
Anthem Insurance ,
Antitrust Provisions ,
Caregivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
CIGNA ,
Department of Justice (DOJ) ,
FMAP ,
HCQIA ,
Health Insurance ,
Humana ,
Lead Poisoning ,
Medicaid ,
Medicare Advantage ,
Mergers ,
Opioid ,
Private Sector ,
Substance Abuse ,
Whistleblower Protection Policies ,
Whistleblowers
On April 25, 2016, the Centers for Medicare and Medicaid Services (CMS) released its final rule that significantly overhauls regulations governing Medicaid managed care. The final rule establishes new requirements for...more
Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace.
With the number of Americans obtaining...more
Medicaid continues to gain scale and importance nationally – as both the leading source of health coverage for Americans, and as a change agent within the healthcare marketplace.
With the number of Americans obtaining...more
On August 28, 2014, the Centers for Medicare and Medicaid Services (CMS) approved Pennsylvania’s application under Section 1115 of the Social Security Act to implement a Medicaid expansion effective January 1, 2015, through a...more
Manatt on Medicaid: New Strategy for Financing 12 Months of Continuous Coverage for Newly Eligible Adults -
The federal government recently issued sub-regulatory guidance that will allow states to receive 98.7 percent...more
How Does the DOMA Defeat Impact Healthcare Reform and Health Insurance Access? -
NOTE: The Supreme Court's 5-4 decision to invalidate the Defense of Marriage Act (DOMA) will affect more than 1,000 federal statutes—and...more
7/16/2013
/ Affordable Care Act ,
Delays ,
Department of Health and Human Services (HHS) ,
DOMA ,
Employee Benefits ,
Employer Mandates ,
Health Insurance ,
Health Insurance Exchanges ,
Healthcare ,
Healthcare Reform ,
Medicaid ,
Pay or Play ,
Pharmacies ,
Same-Sex Marriage ,
SCOTUS ,
Shared Responsibility Rule ,
U.S. Treasury