Coverage

On June 27th, the Centers for Medicare & Medicaid Services (CMS) released guidance to states, outlining new mandatory coverage requirements for approved adult vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) and their administration, without cost sharing. Starting from October 1, 2023, as mandated by the Inflation Reduction Act (IRA), Medicaid and Children's Health Insurance Program (CHIP) must provide coverage and payment for these services. The guidance also specifies the requirements for states to claim a one percentage point increase in the federal medical assistance percentage (FMAP) for these services.

This infographic provides information on coverage and costs for low-income Medicare beneficiaries. The resource describes people on Medicare, financial needs among beneficiaries, programs supporting low-income beneficiaries, and ways to improve access.

This issue brief summarizes the current evidence surrounding the effects of Medicaid expansion on coverage, access, affordability, health outcomes, and economic indicators. The paper draws primarily from evidence examined in 202 studies reviewed in a previous KFF literature review on this subject.

Kaiser Family Foundation and Health Management Associates released a report about implementing coverage and payment initiatives in Medicaid. The data for this report was collected from the 16th annual budget survey completed by the Medicaid directors and Medicaid staff in all fifty states and the District of Columbia. Included in the report is information on the policy changes to the Medicaid programs in each state that were implemented in FY 2016 or planned for implementation in FY 2017.

The National Council on Disability released a new report on implementation of the Affordable Care Act (ACA) and disabilities. This is the first of three reports on the subject. While the Affordable Care Act is a significant piece of legislation, people with disabilities were largely left outside of the policy conversation. This report is meant to serve as a "roadmap" for people with disabilities and how it will affect them depending on how it is implemented.

This is a report on the lifelong disparities that exist among older American Indian (AI) and Alaska Native (AN) populations when compared to the general United States population of older adults. The report includes a definition of who falls into the category of American Indian, identifies where these populations generally live in the U.S., and compares AI/ANs generally with the rest of the population of older adults and also specifically compares health coverage.

The Kaiser Family Foundation published an issue brief of the role of Medicaid for People living with dementia. Individuals with dementia generally require a multitude of medical and behavioral health services. Medicare covers some services for this population but there are gaps where Medicaid may need to fill in for payment of long term services and supports (LTSS) for low-income people. This brief includes a fact sheet for explain the role of Medicaid for people with dementia.