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- September 5, 2022
Demographic Data Collection in Medicaid & CHIP: CMS Authority to Collect Race & Ethnicity Data
Read moreCMS must collect information on Medicaid and CHIP enrollees' race and ethnicity to understand program quality and monitor equitable access. Yet, CMS has not formally required state Medicaid programs to collect or report race and ethnicity information in a uniform manner. As a result, data on racial and ethnic…
- July 28, 2022
Essential Health Benefits: Best Practices in Benchmark Selection
Read moreThe Affordable Care Act (ACA) established a comprehensive set of ten Essential Health Benefits (EHB) that most health plans must cover. Under federal rules, states can select a benchmark plan that defines what the ten benefits look like in each state. However, many states still have no process for…
- July 28, 2022
California Prepares for PHE Unwinding through Release of Operational Plan
Read moreCOVID-19 Public Health Emergency (PHE). While not required, CMS has encouraged states to make their plans publicly available. In their latest guidance to states, CMS outlines detailed requirements and recommendations for states to effectively return to normal business operations when the PHE ends. In May, California’s Medicaid agency, Department…
- June 7, 2022
Medicaid, Child Welfare & Institutional Care: Qualified Residential Treatment Programs
Read moreA landmark foster care reform law, the Family First Prevention Services Act, was intended to ensure that children are able to live in family-like settings and reduce reliance on unnecessary institutional care. In doing so, the new law put a spotlight on a longstanding Medicaid law and policy that…
- May 16, 2022
Medicaid Coverage of Advanced Practice Prescribing for Reproductive & Sexual Health Medications
Read moreAdvanced practice providers (APPs) are licensed health care practitioners, other than physicians, who may practice independently and bill directly under state law. Public health research supports making a variety of reproductive and sexual health medications available through APPs. There are two primary state policy levers that impact access to…
- May 3, 2022
Scope of Practice and Medicaid: State Flexibility to Cover Advanced Practice Care
Read moreAdvanced practice providers (APPs) are licensed health care practitioners, other than physicians, who may practice independently and bill directly under state law. Public health research supports making a variety of services available through APPs. There are two primary state policy levers that impact Medicaid enrollees’ access to advanced practice…