Newsletters

11.20.24

CMS Releases Guidance on Optional Long-Term Use of Unwinding-Related Section 1902(e)(14) Waivers

On November 14, CMS released guidance to states on how they can elect to extend permanently many waivers that have given them flexibility in how they conduct eligibility redeterminations for Medicaid and CHIP.


10.03.24

CMS Guidance on Expectations for State Compliance with Medicaid and CHIP Renewal Requirements

On September 20, the Centers for Medicare & Medicaid Services (CMS) issued guidance detailing the timeline and expectations for states to fully comply with federal Medicaid and Children’s Health Insurance Program (CHIP) renewal requirements.


10.03.24

OIG Report Calls for Additional Oversight of Remote Patient Monitoring in Medicare

On September 24, the HHS Office of Inspector General (OIG) released a report calling for “additional oversight of remote patient monitoring in Medicare.”


09.11.24

CMS Issues Guidance on Renewal Timeliness Post-Unwinding

On August 29, 2024, the Centers for Medicare & Medicaid Services (CMS) released a Center for Medicaid & Children’s Health Insurance Program (CHIP) Services (CMCS) Informational Bulletin (CIB) and an accompanying slide deck to support states that continue to face renewal backlogs.


08.28.24

CMS Releases Guidance to Promote Continuity of Coverage for Individuals Receiving HCBS

On August 19, the Centers for Medicare & Medicaid Services (CMS) released a Center for Medicaid and CHIP Services (CMCS) Informational Bulletin (CIB) and an accompanying slide deck reminding states of their obligation to comply with federal Medicaid renewal requirements and identifying ...


05.15.24

CMS Releases New Data and Guidance on Medicaid and CHIP Application Processing

On May 9, CMS released new data indicating that, at the end of 2023, states processed more than two-thirds of Modified Adjusted Gross Income Application (MAGI) applications nationwide within seven days—more than half of which were processed in under 24 hours.


05.02.24

CMS Finalizes Sweeping Regulations for Medicaid Access, Managed Care, and HCBS

On Monday, April 22, the Centers for Medicare & Medicaid Services (CMS) released two highly anticipated final rules.


02.13.24

States Can Still Maximize Coverage Retention Through 1902(e)(14) Flexibilities

To date, the Centers for Medicare & Medicaid Services (CMS) has approved nearly 400 section 1902(e)(14) waivers that 52 states (including Washington D.C.) and territories are employing to support the return to regular eligibility and enrollment operations following the expiration of the ...


01.08.24

HHS and CMS Take Action to Preserve Coverage for Eligible Children

On December 18, 2023, the Centers for Medicare & Medicaid Services (CMS) released a suite of Medicaid unwinding-related guidance and enrollment data that includes a focus on ensuring eligible children maintain Medicaid and Children’s Health Insurance Program (CHIP) coverage.


11.02.23

Issue Spotting Common Policy and Operational Barriers to Ex Parte Renewals: State Assessment Tool

Many states are actively working to make changes to their systems to enable ex parte renewals at the individual level and implement mitigation strategies to ensure eligible Medicaid and Children’s Health Insurance Program (CHIP) enrollees retain coverage until those system changes are ...