Enrollment

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2020 Medicaid Managed Care Enrollment and Program Characteristics

On Monday, June 13, 2022 CMS released the 2020 Medicaid Managed Care Enrollment and Program Characteristics and Data Tables. This national data is broken down by program, population, and individual state. The enrollment data provides a snapshot of Medicaid managed care enrollment as of July 1, 2020.

Short URL: http://www.advancingstates.org/node/73974

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Preparing for Medicaid Changes When the Public Health Emergency Expires

When the federal declaration of a public health emergency (PHE) expires, many of the flexibilities initiated during COVID-19 will need to be rolled back, including changes in Medicaid enrollment and eligibility. ACL has developed a fact sheet to help grantees prepare for these changes ahead and continue to support older adults and people with disabilities who currently rely on Medicaid Coverage.

Short URL: http://www.advancingstates.org/node/73792

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CMS Releases RFI on Access to Medicaid and CHIP Services

On Thursday, February 17, 2022 CMS released a request for information (RFI) regarding access to Medicaid and CHIP Services. The RFI is broad and extends beyond prior CMS access inquiries, which largely focused on eligible beneficiaries ability to receive covered Medicaid services. This RFI includes topics such as how beneficiaries enroll in and maintain access to coverage, access to the actual services, and payment rates.

Short URL: http://www.advancingstates.org/node/73655

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Benefit Access and Enrollment Since the Onset of COVID-19

COVID-19 is a long-lasting and complex disaster situation involving a public health emergency and an economic crisis, with particularly acute impacts for older adults, people with disabilities, and others with certain health conditions. States are responding with changes in policies and procedures to ensure individuals have access to public benefit programs (e.g. Medicare Savings Programs, LIS/Extra Help, SNAP, and LIHEAP). ADvancing States has a new brief highlighting where states are with benefit access and enrollment since the onset of the COVID-19 pandemic. Results in the brief comes from the 2021 ADvancing States Membership Survey: COVID-19 Benefits Access and Enrollment, a follow-up to the 2020 survey.

Short URL: http://www.advancingstates.org/node/73270

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Two strategies for states to increase enrollment in Medicare Savings Programs

In a November 1 informational bulletin, CMS encourages states to adopt two strategies to help more people enroll in Medicare Savings Programs and State Health Insurance Assistance Programs. In addition to informing the advocacy work of the aging and disability networks, the bulletin also includes information that can help our networks identify older adults and people with disabilities who likely would be eligible for the programs.

Short URL: http://www.advancingstates.org/node/73255

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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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Five Competency Domains for Staff Who Facilitate Person-Centered Planning

This resource was developed for human service agency leadership whose role is directing the organization and delivery of services and supports. The five competency domains include: Strengths-Based, Culturally Informed, Whole Person-Focused; Cultivating Connections Inside the System and Out; Rights, Choice, and Control; Partnership, Teamwork, Communication, and Facilitation; and Documentation, Implementation, and Monitoring.

Short URL: http://www.advancingstates.org/node/72237

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Process and Application Changes to Benefit Enrollment Systems During COVID-19: Findings from State Aging and Disability Agencies

This issue brief explores adjustments that states have made to processing eligibility and enrollment for benefits access, including changes to application and supporting document requirements. Examples of opportunities and adjustments that states have made to ensure older adults and persons with disabilities have access to critical benefit programs during the pandemic are highlighted. Data and findings are drawn from the ADvancing States 2020 COVID-19 Membership Survey.

Short URL: http://www.advancingstates.org/node/72130

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Benefits Access and Enrollment During COVID-19: Findings from State Aging and Disability Agencies

This report provides a summary of changes that states have made to their systems for connecting individuals to benefits and explores state agency changes, challenges, and opportunities related to benefits access and enrollment during the COVID-19 crisis. Data and findings are drawn from the ADvancing States 2020 COVID-19 Membership Survey.

Short URL: http://www.advancingstates.org/node/72085

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Take-Up Rates in Medicare Savings Programs and the Part D Low-Income Subsidy Among Community-Dwelling Medicare Beneficiaries Age 65 and Older

This study highlights the systematic barriers that keep nearly three million low-income older adults from accessing programs that help pay for health care. This issue brief shows that one-third of people eligible for Medicare Savings Programs are not currently enrolled. Barriers to enrollment include lack of awareness around the programs or an inability to complete the process. This issue brief also identifies potential policy solutions for improving access to these assistance programs.

Short URL: http://www.advancingstates.org/node/72061

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