Medicaid

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Medicaid and Health-Related Social Needs: Four Insights over Four Years

CHCS senior program officer, Diana Crumley, JD, MPAff, has helped state Medicaid agencies, health plans, and community-based organizations think through issues regarding health-related social needs and social care integration over the last four years. This blog post outlines four lessons from her experience supporting health care stakeholders address health-related social needs and health inequities, while focusing on advanced primary care and Medicaid managed care.

Short URL: http://www.advancingstates.org/node/73075

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The Biden-Harris Administration Expands Vaccination Requirements for Health Care Settings

The Administration will require COVID-19 vaccination of staff within all Medicare and Medicaid-certified facilities to protect themselves and patients from the COVID-19 Delta variant. On Thursday, September 9, 2021, CMS, in collaboration with the CDC, announced that emergency regulations requiring vaccinations for nursing home workers will be expanded to include hospitals, dialysis facilities, ambulatory surgical settings, and home health agencies, among others.

Short URL: http://www.advancingstates.org/node/73073

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State Health Official Letter - Updated Guidance Related to Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency

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.

Short URL: http://www.advancingstates.org/node/72973

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CMS Releases Proposed Provider Reassignment Regulation

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.

Short URL: http://www.advancingstates.org/node/72957

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Implementing Diversity, Equity, and Inclusion Efforts to Better Support Staff of Color

In this episode of the Medicaid Leadership Exchange podcast series, Ivory Banks, chief of staff at the Department of Medical Assistance Services, Commonwealth of Virginia, and Marlia Mattke, assistant administrator at the Wisconsin Department of Health Services, share their successes and challenges in pursuing diversity, equity, and inclusion efforts that better support staff of color in Medicaid agencies.

Short URL: http://www.advancingstates.org/node/72935

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Using Data to Empower Medicaid to Support Health Equity

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.

Short URL: http://www.advancingstates.org/node/72922

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MACPAC Releases June 2021 Report to Congress

On Tuesday, June 15, 2021 the Medicaid and CHIP Payment and Access Commission (MACPAC) released its June 2021 Report to Congress on Medicaid and the State Children’s Health Insurance Program (CHIP). The report recommends that Congress take measures to address the effect of high-cost specialty drugs on state Medicaid programs and take steps that would improve access to mental health services for adults and children enrolled in Medicaid and CHIP.

Short URL: http://www.advancingstates.org/node/72692

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New Updates to theCoverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration and Cost Sharing under Medicaid, the Children’s Health Insurance Program, and Basic Health Program Toolkit

CMS released an update to the COVID-19 Vaccines Toolkit that was released on 10/28/20 and first updated on 11/23/20. This update includes more information on vaccine administration reimbursement and outlines a streamlined review process available to states looking to quickly adjust vaccine administration reimbursement rates in state plans. The toolkit also provides more clarification on managed care network adequacy and the phased distribution and administration approved COVID-19 vaccines.

Short URL: http://www.advancingstates.org/node/72290

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Report to Congress on Innovative State Initiatives and Strategies for Providing Housing-Related Services and Supports under a State Medicaid Program to Individuals with Substance Use Disorder who are Experiencing or at Risk of Experiencing Homelessness

CMS recently released a Report to Congress highlighting approaches five state programs implemented to address housing instability and improve treatment outcomes for people with Substance Use Disorder. Initiatives mentioned in the report focus on: providing housing-related supports that facilitate access to community resources; sharing data across systems to identify and target those in need for resources; and partnerships building across state and local health and housing systems and providers.

Short URL: http://www.advancingstates.org/node/72241

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