CMS

On January 12, 2022, CMS released the Medicaid LTSS Annual Expenditures Report for Federal Fiscal Year (FFY) 2019. This report discusses the LTSS rebalancing trends and growth in expenditures for home and community-based services as compared to institutional spending during the time period reviewed.

As part of its ongoing efforts across many channels to expand Americans’ access to free testing, the Biden-Harris Administration is requiring insurance companies and group health plans to cover the cost of over-the-counter, at-home COVID-19 tests, so people with private health coverage can get them for free starting January 15, 2022.

The CMS Office of Minority Health (OMH) has published a new report, Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018. Since 2015, CMS OMH has published annual reports highlighting inequities in the quality of care delivered to Medicare beneficiaries nationwide. Until now, these reports have focused on comparisons within a single year. This new report analyzes historical trends in inequities by race, ethnicity, sex, and geography among Medicare beneficiaries enrolled in Medicare Advantage (MA) plans nationwide.

The Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services, is working with states to promote access to Medicaid services for people with mental health and substance use disorder (SUD) crises. Authorized under President Biden’s American Rescue Plan (ARP), states have a new option for supporting community-based mobile crisis intervention services for individuals with Medicaid. This option will help states integrate these services into their Medicaid programs, a critical component in establishing a sustainable and public health-focused support network.

This report finds U.S. health care spending increased rapidly in response to the pandemic. This was primarily driven by increased federal spending, including financial assistance to providers to make up for lost revenue through the Provider Relief Fund and the Paycheck Protection Program, and increased federal public health spending including spending for vaccine development, COVID testing, and health facility preparedness. As a result, growth in federal government spending on health care has increased by 36% in 2020.

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.

On Monday, CMS published an Informational Bulletin describing ways for states to help eligible individuals enroll in the Medicare Savings Programs (MSPs), making health care more accessible and affordable. The MSPs cover Medicare Part A and B premiums and cost sharing for individuals with low income. In 2021, over 10 million individuals were enrolled in an MSP.

CMS is inviting states to participate in a Medicaid learning collaborative. The learning collaborative is an opportunity for states to develop new solutions and identify promising practices to improve the delivery of supports and services for people with I/DD and their aging caregivers. The collaborative will consist of six monthly virtual learning sessions between November 2021 and April 2022.

CMS has made vaccination data available in a user-friendly format to help people make informed decisions when choosing a nursing home for themselves or a loved one. CMS and the Centers for Disease Control and Prevention (CDC) are using this data to monitor vaccine uptake among residents and staff to identify facilities that may need additional resources or assistance.

CMS announced the 2022 Medicare & You Handbook will be available in Chinese, Vietnamese, and Korean, as well as English and Spanish. Medicare & You is a resource designed to help Medicare enrollees make decisions about their coverage. The new Chinese version, along with Spanish, large print, audio book, and braille versions of Medicare & You are available on Medicare.gov.