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Medicaid Coverage Gap Resources

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April 2022

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Commentary

This commentary tells the story of Sabrina, who plans to become a doctor, and how her experience as a Medicaid recipient informed how she sees the U.S. health care system. 

Blog

This blog provides model comments developed to inform and support state responses to the Centers for Medicare & Medicaid Services' RFI to achieve substantial reforms on access to coverage–namely, the processes for enrollment and eligibility redeterminations.

Resource Page

This toolkit provides a communications planning guide designed to support state Medicaid agencies as they prepare for the upcoming end of the continuous coverage requirement.

Blog

This blog analyzes survey results on how many people in Minnesota have health insurance and how easy it is for them to get health care.

Brief

To assist states in closing digital skill gaps and preparing for digital equity planning, this brief offers key questions and resources for state leaders to consider.

Map

This map compares state approaches to contact tracing during the COVID-19 Pandemic.

Report

This report summarizes the different elements of California’s initiative, which provides a model for other states seeking to expand housing services and whole person care through Medicaid.


Map

This interactive map summarizes state Medicaid reimbursement policies for all types of midwives including certified nurse-midwives and midwives who pursue alternative pathways to licensure, often referred to as certified professional midwives, certified midwives, or direct entry midwives depending on state regulations.

Report

This report explores Affordable Care Act (ACA) Marketplace premiums at the state and rating region levels, focusing on the changes between 2021 and 2022, including data from prior years.

Chart

This blog provides an updated look at vaccine hesitancy among U.S. adults (age 18 and older) using HPS data from January through October 2021.

Map

This map provides eligibility levels for states’ Medicaid and Children’s Health Insurance Program coverage for pregnancy.

Commentary

This blog provides solutions and unique opportunities for governors to reform mental health service delivery. Many states have adopted innovative tools to address these shortages.

Commentary

This commentary tells the story of Nicholas who requires some extra assistance with daily activities as a result of his autism. Medicaid helps afford all of his caretakers and provides him with transportation to and from his job as a COVID-19 front-line worker.

Blog

This blog, briefly reviews the research regarding the Medicaid undercount in the CPS, provides estimates of how it varies across states in 2020, and discusses the impact of assigning single coverage for those with multiple sources on the Medicaid undercount in the CPS.

Commentary

This commentary tells the story of Margot C., who has limited mobility due to rheumatoid arthritis, fibromyalgia, and a spinal cord injury. Medicaid provided her housing in a residential care setting that her private insurance could not provide. Now, Margot helps her peers sign up for Medicaid.

Blog

This blog explores the Hospital Cost Tool which identifies different cost measures including hospital revenue, cost to charge ratios, and profitability across more than 4,600 hospitals nationwide from 2011 through 2019. 

Map

States are taking action on COVID-19 vaccine mandates and passports. This map displays the status of individual states’ efforts to:

- Ban or enforce private employer mandated vaccinations
- Mandate vaccines for state employees and health workers
- Implement vaccine passports or proof of vaccination requirements

Blog

This blog summarizes the new reporting requirements and presents a set of considerations for states as they begin implementing new unwinding policies, procedures, and reporting.

Brief

This brief reviews the regulatory framework for network adequacy for Medicaid Managed Care Organizations and Marketplace qualified health plans and identifies policies and practices to ensure their networks include the number and mix of providers that enrollees need.

Blog

This blog post highlights California's and New Jersey's approaches to preventing and mitigating the effects of early adversity on children and families as well as supporting resilience-building in their communities.

Commentary

This commentary tells the story of Maddy K., a 23-year-old who has Asperger syndrome who is able to work two part-time jobs, volunteer frequently, and be part of a community organization for those with disabilities because of Medicaid's ability to provide her with essential transportation.

Brief

This issue brief identifies several areas in which state departments of insurance may want to coordinate with other agencies or external stakeholders, issue new regulations or guidance, and establish means for minimizing gaps in coverage or access to services once the PHE ends.

Chart , Map

This map and chart provide the status of state legislation to address prescription drug costs across the country. 

Blog

This blog summarizes feedback from representatives of consumer advocates, insurers, and state agencies on CMS' proposed annual Notice of Benefits and Payment Parameters, which updates regulations governing the Affordable Care Act’s marketplaces.

Blog

This blog explores how telehealth can support services like telematernity and behavioral health visits and its potential to meet health needs and improve health equity.

Blog

This blog explores strategies on how to invest in the development of Medicaid leaders to help states and territories improve the health and well-being of people served by publicly financed care.

Key tips include:

Always have a plan b, plan c, and plan d.
Build relationships and find a common thread.
Fill the void.
And more.

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