New CMS Guidance: 12 Months of Continuous Enrollment for Children Enrolled in Medicaid and CHIP

Prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program


Last year, Congress enacted Section 5112 of the Consolidated Appropriations Act, 2023 (CAA) requiring all states to adopt one-year of continuous enrollment (CE) for children effective January 1, 2024, and on September 29, the Centers for Medicare & Medicaid Services (CMS) released a State Health Official (SHO) letter providing guidance on the requirement.

In a new expert perspective prepared for the Robert Wood Johnson Foundation’s State Health and Value Strategies program, Manatt Health discusses key topics addressed in the guidance, which include the specific eligibility groups subject to CE under the CAA, the limited exceptions under which CE may be discontinued prior to 12 months, the impact of CE on children in carceral settings, and implementation requirements for states.

To read the full expert perspective, view here.

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