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- May 6, 2020
Use of Emergency Medicaid State Plan Amendments During the COVID-19 Pandemic
Read moreStates have several paths to address Medicaid coverage for COVID-19, including State Plan Amendments (SPA), section 1135 authority, and other waivers. CMS recently released a SPA template for options related to the pandemic. This issue brief discusses the emerging issues of SPA authority in six states and provides recommendations…
- April 14, 2020
Medicaid and Due Process during the COVID-19 Pandemic
Read moreThe federal government has used a variety of authorities to allow states flexibility in operating their Medicaid programs during the national and public health emergency trigged by the COVID-19 pandemic. Its primary tools are waivers and State Plan Amendments (SPAs) under section 1135, Section 1115 waivers, and Appendix K…
- April 14, 2020
Essential Health Benefits (EHB) benchmarking process
Read moreThe Essential Health Benefits (EHB) benchmarking process has been significantly modified throughout the years to provide states with increasing flexibility to either make harmful cuts to coverage or improve coverage. The current benchmarking process, finalized in 2017, established a new ceiling on the generosity of benefits provided under the…
- March 10, 2020
Presumptive Eligibility and Abortion Issue Brief
Read moreIn this Issue Brief, authors Fabiola Carrión and Courtney Mendoza define Presumptive Eligibility (P.E.), which allows a patient to receive immediate Medicaid coverage if that individual is likely to be found eligible based on income, household size, and if applicable, pregnancy status. The authors describe how P.E. works, its…
- February 12, 2020
DHS’ Final Rule: Impact of Public Charge on Health Care and Benefits
Read moreOn August 12, 2019, the Department of Homeland Security (DHS) released a final rule redefining the term “public charge.” The rule made fundamental changes to the longstanding application of public charge to the receipt of public benefits for certain immigrants. On January 27, the U.S. Supreme Court lifted the…
- December 19, 2019
Opportunities for Public Comment on HCBS Assessment Tools
Read moreMedicaid home and community-based services (HCBS) are critical to ensuring people with disabilities and older adults are supported in their communities. State Medicaid agencies and their contractors often rely on assessment tools to make eligibility decisions, allocate services, and inform person-centered planning processes. However, these tools can be difficult to…