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
On August 19, the Centers for Medicare & Medicaid Services (CMS) released a Center for Medicaid and CHIP Services (CMCS) Informational Bulletin (CIB) and an accompanying slide deck reminding states of their obligation to...more
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
7/30/2024
/ Case Management ,
Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Consolidated Appropriations Act (CAA) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Incarcerated Beneficiaries ,
Medicaid ,
Minor Children ,
Patient Access
In July, the Centers for Medicare and Medicaid Services (CMS) approved seven new Reentry Section 1115 Demonstrations in Illinois, Kentucky, New Hampshire, New Mexico, Oregon, Utah, and Vermont. These states join California,...more
On February 26, 2024, Montana received Centers for Medicare and Medicaid Services (CMS) approval to provide contingency management, tenancy supports, and Reentry Initiative services under its Section 1115 Healing and Ending...more
3/7/2024
/ 1115 Waivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Facilities ,
Medicaid ,
Mental Health ,
Montana ,
Patient Access ,
Scope of Treatment ,
Substance Abuse
States are required to provide non-emergency medical transportation (NEMT) in their Medicaid programs but have flexibility in how they deliver these critical services. While states take a variety of approaches in the...more
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
On December 1, 2023, North Carolina will become the 40th state to implement Medicaid expansion under the Affordable Care Act (ACA), extending Medicaid eligibility to more than 600,000 adults with incomes up to 138% of the...more
The Medicaid Market: A Huge and Growing Investment Opportunity -
Medicaid is a critical source of health care coverage for women in their childbearing years, covering 1 in 5, or 13 million, women of reproductive age and...more
Individuals leaving incarceration have disproportionately higher rates of physical and behavioral health diagnoses and are at higher risk for injury and death compared with people who have not been incarcerated. Race...more
6/23/2023
/ 1115 Waivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Eligibility ,
Enrollment ,
Health Care Providers ,
Health Insurance ,
Inmates ,
Medicaid ,
Mental Health ,
Substance Abuse ,
Webinars
Editor’s Note: In a new issue brief prepared with the support of Arnold Ventures, Manatt Health shares an array of best practice strategies in place across the nation to serve as an actionable road map for states that might...more
Given its role as a critical source of health care coverage for low-income individuals in the United States, including 13 million women of reproductive age, Medicaid is the primary source of family planning coverage in the...more
Medicaid is the primary source of family planning coverage, accounting for 75% of public expenditures for family planning services in the United States. In order to expand the number of people who can access family planning...more
In a new webinar, Manatt Health, the American Medical Association (AMA) and a panel of stakeholders will share key lessons for states seeking to innovate and expand access to evidence-based care for pregnant people with a...more
4/17/2023
/ Health Care Providers ,
Health Insurance ,
Inmates ,
Medicaid ,
Medicaid Expansion ,
Opioid ,
Parole ,
Pregnancy ,
Prescription Drugs ,
Prisoners ,
Probation ,
Substance Abuse ,
Waivers ,
Webinars
The Big Picture -
On January 26, 2023, the Centers for Medicare & Medicaid Services (CMS) approved California’s request to amend the California Advancing and Innovating Medi-Cal (CalAIM) Section 1115 demonstration. A...more
1/31/2023
/ 1115 Waivers ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Health Insurance ,
Healthcare ,
Healthcare Reform ,
Inmates ,
Medi-Cal ,
Medicaid ,
Prisoners ,
Regulatory Agenda
During the COVID-19 public health emergency (PHE), states implemented numerous Medicaid and Children’s Health Insurance Program (CHIP) policies and operational processes that helped to maintain coverage and support access to...more
The COVID-19 public health emergency (PHE) spurred a seismic shift in the delivery of health care, including services provided to children and adolescents. Pediatric providers rapidly scaled up their telehealth capabilities...more
As a condition of receiving enhanced federal funds under the Families First Coronavirus Response Act, states are maintaining continuous enrollment of all Medicaid enrollees, and many states have also paused Children’s Health...more
There is growing momentum among states to develop innovative models to help people involved with the justice system (i.e., justice-involved individuals) receive health care services covered by Medicaid while they are...more
Join Manatt for the First of Our Imperatives Deep-Dive Sessions on the Topics You Voted Most Important to You.
To benefit fully from America’s health care system, people need both timely access to health care services and...more
9/9/2022
/ Biden Administration ,
Continuing Legal Education ,
Continuous Coverage ,
Coronavirus/COVID-19 ,
Denial of Insurance Coverage ,
Eligibility ,
Health Care Providers ,
Health Insurance ,
Healthcare Costs ,
Healthcare Reform ,
Medicaid ,
Medicare ,
Public Health Emergency ,
Telehealth ,
Webinars
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
6/21/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Continuous Coverage ,
Coronavirus/COVID-19 ,
Enrollment ,
Essential Health Benefits ,
Families First Coronavirus Response Act (FFCRA) ,
Health Insurance ,
Infectious Diseases ,
Medicaid ,
New Guidance ,
Patient Access ,
Public Health Emergency ,
Waivers
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
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
6/10/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Children's Health Insurance Program (CHIP) ,
Continuous Coverage ,
Coronavirus/COVID-19 ,
Enrollment ,
Essential Health Benefits ,
Families First Coronavirus Response Act (FFCRA) ,
Health Insurance ,
Infectious Diseases ,
Medicaid ,
New Guidance ,
Public Health Emergency
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
Background -
On March 3, the Centers for Medicare & Medicaid Services (CMS) released a State Health Official (SHO) letter, “Promoting Continuity of Coverage and Distributing Eligibility and Enrollment Workload in Medicaid,...more