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CMS: At least 1 in 3 Medicaid/CHIP enrollees up for renewal in April disenrolled
In the 18 states that began unwinding the continuous coverage requirement for Medicaid and Children’s Health Insurance Program enrollees in April, 46% of enrollees with coverage up for renewal had their coverage renewed, 32% were terminated and redeterminations for the rest are pending, the Centers for Medicare & Medicaid Services reported in its first monthly data report on renewals. For more information, see the CMS infographic.
California, Kentucky to add Medicaid mobile crisis services
The Centers for Medicare & Medicaid Services approved Medicaid state plan amendments for California and Kentucky to provide 24/7 community-based mobile crisis intervention services to eligible individuals experiencing a mental health or substance use crisis, as authorized by the American Rescue Plan Act.
PAHPA, CHGME, SUPPORT Act bills clear House committee
The House Energy and Commerce Committee passed 15 health-related bills approved by its health subcommittee last week, including bills that would reauthorize the Pandemic and All-Hazards Preparedness Act, Children’s Hospitals Graduate Medical Education Program, and key programs within the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities (SUPPORT) Act.
CMS releases community outreach tool on Medicaid, CHIP renewals
The Centers for Medicare & Medicaid Services has posted training slides that partners can use to educate communities about the need for Medicaid and Children’s Health Insurance Program enrollees to renew their coverage and how to find other coverage if they are no longer eligible.
Protect Access to Care for Patients and Communities
Congress should enact policies to strengthen the health care workforce and reject harmful proposals that would cut Medicare or Medicaid payments to hospitals and reduce access to care and services for patients.
Federal judge sides with Texas in Medicaid lawsuit, enjoins CMS
A federal court June 30 enjoined the Centers for Medicare & Medicaid Services from implementing and enforcing a bulletin addressing Medicaid funding and the redistribution of Medicaid payments, siding with the state of Texas in the ongoing legal challenge.
South Dakota poised to become 39th state to expand Medicaid under ACA
Effective July 1, over 52,000 low-income adults in South Dakota will become eligible for Medicaid under the Affordable Care Act, the Centers for Medicare & Medicaid Services announced June 30.
AHA Comment Letter on CMS’ Proposed Rule to Ensure Medicaid Services Access
AHA comments on the proposals to increase transparency in provider payment rates, expand stakeholder and beneficiary engagement, and improve access to home and community-based services.
CMS outlines Medicaid/CHIP coverage for adult vaccines effective Oct. 1
The Centers for Medicare & Medicaid Services released guidance on an Inflation Reduction Act provision requiring state Medicaid and Children’s Health Insurance Programs to cover approved adult vaccines recommended by the Advisory Committee on Immunization Practices and their administration without cost sharing beginning Oct. 1, 2023.
Members of Congress urge CMS to further streamline prior authorization
A bipartisan group of 233 representatives and 61 senators called on the Centers for Medicare & Medicaid Service to enhance its proposal to streamline prior authorization processes in Medicare Advantage, Medicaid and the federally-facilitated Marketplace to require real-time electronic decision-making for routinely approved services, responses for emergency procedures within 24 hours and additional transparency.