Shandra Hartly

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September 9, 2026
OBBBA Changes to Improper Payment Penalties Pose Risks to State Medicaid Programs
Shandra Hartly Issue Brief
Beginning October 1, 2029, OBBBA makes significant changes to Medicaid's Payment Error Rate Measurement (PERM) program: The law eliminates the "good faith waiver," making penalties for error rates over 3 percent mandatory, and it changes definitions to expand the universe of payments subject to penalties. The risk to state…
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November 20, 2025
Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements
Shandra Hartly Issue Brief
Effective data matching will be an integral part of minimizing the harm associated with OBBBA's work requirements. This resource provides a brief overview of existing ex parte verification requirements and common sources used for ex parte verification, and emphasizes that those sources should be used with care to minimize…
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August 13, 2025
The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability
Geraldine Doetzer, Alicia Emanuel, Shandra Hartly, Héctor Hernández-Delgado, and Wayne Turner Issue Brief
On June 20, 2025, the Department of Health and Human Services (HHS) finalized a marketplace rule, hereinafter referred to as the Marketplace Final Rule, that restricts access to marketplace coverage and affordability programs under the Affordable Care Act (ACA). This issue brief discusses the key eligibility, enrollment and affordability…
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Posts tagged with ‘Shandra Hartly’

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OBBBA Changes to Improper Payment Penalties Pose Risks to State Medicaid Programs

Got Your (Work) Number: The Intersection of Medicaid Eligibility Data Sources and Work Requirements

The Marketplace Final Rule Rolls Back Access to Marketplace Coverage and Affordability