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Medicaid Coverage Gap Resources

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January 2022

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Blog

This blog provides Medicaid agencies with examples of how different states are leveraging their managed care programs, inclusive of contracts, quality initiatives, and procurement processes, to promote health equity and address health disparities.

Blog

This blog explores text messaging as a mechanism for outreach for state Medicaid and Children’s Health Insurance Program (CHIP) agencies to directly contact Medicaid and CHIP enrollees and communicate important information.

Brief

This blog summarizes a phased set of priority measures and provides a model enrollment and retention dashboard template that states can use to monitor both the short-term impacts of phasing out public health emergency protections and continuous coverage requirements, as well as longer-term enrollment and retention trends.

Blog

This blog explores value-based, alternative payment models as employer-sponsored health insurance costs have increased by 6.3 percent in the United States since 2010, with additional increases projected.

Commentary

This commentary shares the story of Ashley, who unexpectedly lost the private health insurance she received under her father’s health plan when she moved to New Mexico.

Blog

This blog presents survey findings that show no significant changes in coverage type (public, private) or uninsured rate across all ages and income groups when compared in Q3 of 2021 compared to the Q3 of 2020.

Blog

This blog examines recent happenings with insurer participation in the Affordable Care Act marketplace.

Brief

This issue brief examines the current status of data collection to assess Medicaid enrollment and retention, summarizes potential forthcoming reporting requirements, and describes some of the best practices states should consider when developing a data dashboard to display this type of information.

Blog

This blog examines some of the key factors and decision points states may want to consider as they build out mobile mental health crisis services and systems that qualify for enhanced federal medical assistance percentage funding; engaging a cross-agency team and a broad range of external stakeholders can help ensure full consideration of diverse state crisis needs.

Blog

This blog examines the Notice of Benefit and Payment Parameters for the 2023 plan year, released by the U.S. Department of Health and Human Services, that describes the annual regulation governing health insurance plans and marketplaces for the upcoming year.

Blog

This blog details new federal rules that require health insurers to cover and waive cost-sharing for over-the-counter COVID-19 tests for the duration of the federal public health emergency.

Blog

This blog examines the Centers for Medicare and Medicaid Services' newly released State Health Official letter providing guidance on the scope of and enhanced payments for qualifying community-based mobile crisis intervention services for Medicaid enrollees experiencing a mental health or substance use disorder crisis.

Chart

This chart summarizes temporary Medicaid and CHIP flexibilities enacted by the federal government to help states respond to the ongoing COVID-19 pandemic. The chart includes effective dates and expiration dates as dictated by law or agency guidance.  

Blog

This blog analyzes the coverage landscape in California in 2020, highlighting both encouraging trends and persistent disparities that warrant attention, particularly as federal policies that protect coverage connected to the pandemic end or wind down.

Map

This interactive map explores state legislation to implement and fund 988, the new congressionally mandated three-digit calling code for the National Suicide Prevention Lifeline.

Brief

This brief offers considerations for policymakers around the Children’s Health Insurance Program coverage as a method of enabling states to provide prenatal, labor and delivery, and postpartum services to pregnant individuals, regardless of immigration status.

Brief

This brief examines provisions of the Notice of Benefit and Payment Parameters for the plan year 2023 related to the state-based marketplaces and state insurance regulators.

Report

This toolkit highlights opportunities for states to leverage managed care plans to support unwinding the Medicaid continuous coverage requirement.

Blog

This blog highlights several successful state initiatives that policymakers may consider adopting to improve routine Human Papillomavirus vaccination rates among adolescents and provide catch-up vaccinations to the estimated one million adolescents who are now behind due to the challenges of the pandemic.

Blog

This blog explores transparency legislation that influences drug pricing by requiring manufacturers and other supply chain entities to provide information on drug pricing.

Map

This interactive map and chart summarize proposed and approved legislation since 2018, Medicaid waivers, financial estimates, and other initiatives designed to extend coverage during the postpartum period.

Chart

This informative chart details key components and features of states’ Medicaid doula benefits.

Blog

This blog post sheds light on how Pennsylvania has taken steps to better understand how to mitigate the racial bias by collecting information on how Medicaid Managed Care Organizations are using algorithms, the types of proxies being used, and the outcomes as a method to develop their health equity strategies.

Map

This interactive map displays each state’s latest emergency orders and actions designed to safeguard residents during the COVID-19 pandemic.

Map

This interactive map exhibits the status of individual states’ actions on COVID-19 vaccine mandates and passports.

Map

This interactive map showcases how states are addressing school mask mandates amidst increasing youth vaccination rates and fluctuations in pediatric COVID-19 cases.

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