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- May 30, 2023
Trends in State Medicaid Continuous Coverage Unwinding Plans
Read moreAs part of the Medicaid continuous coverage unwinding, states were required to create plans to describe how they will redetermine the eligibility of all Medicaid enrollees. This paper identifies some of the major trends affecting beneficiaries in available unwinding plans including choices that may affect coverage loss and ease…
- May 17, 2023
Access to Medi-Cal Specialty Mental Health Services: Network Adequacy Requirements and Other Beneficiary Rights
Read moreMedi-Cal covers Specialty Mental Health Services (SMHS) for beneficiaries who need them. In California, County Mental Health Plans (MHPs) are responsible for providing SMHS to Medi-Cal beneficiaries of all ages. This issue brief analyzes the legal requirements that require MHPs to ensure Medi-Cal beneficiaries’ access to SMHS and maintain…
- May 16, 2023
Health Coverage Options for Individuals Who Lose Medicaid During the Public Health Emergency Unwinding
Read moreDuring the COVID-19 Public Health Emergency (PHE), laws were enacted that allowed people to keep their Medicaid coverage even if they had changes to their eligibility, such as income or family size. This "continuous coverage" requirement ended on March 31, 2023, and as of April 1, 2023, state agencies…
- May 15, 2023
Principles for Fairer, More Responsive Automated Decision-Making Systems
Read moreMany government agencies use automated decision-making systems (ADS) for public benefits coverage and enrollment decisions, including Medicaid. By ADS we mean, broadly, systems that use standardized logic or algorithms to assess eligibility for and access to public benefits. This includes not only sophisticated “big data” systems, such as programs…
- May 15, 2023
“Unfit” to work? How Medicaid Work Requirements Hurt People with Disabilities
Read moreNew proposals to impose harsh work requirements in the Medicaid program will cause people with disabilities to lose Medicaid coverage. This brief shows how Medicaid already supports employment opportunities for people with disabilities seeking to work -- supports that work requirements may undermine. It provides evidence showing that exemption…
- May 10, 2023
How Funding and Eligibility Cuts to Medicaid Harm Response Efforts to Public Health Crises (Updated May 2023)
Read moreCongressional Republican leadership is considering funding and eligibility cuts to Medicaid, such as work requirements, block grants, and per capita caps. Such proposals would impose new budgetary pressures on states and make it more difficult for individuals to access necessary health care programs and services. Because Medicaid is uniquely…