Medicaid Expansions

The Centers for Medicare and Medicaid Services (CMS) released proposed rules explaining the ACA’s shared responsibility provision and the process for determining eligibility for and granting certificates of exemption from the shared provision.

HHS released joint Medicaid and exchange proposed rules addressing appeals and notices, eligibility and enrollment, Alternative Benefit Plans, and Medicaid cost-sharing.

CMS released this letter to state health officials and Medicaid directors providing guidance on the application of the Mental Health Parity and Addiction Equity Act requirements to Medicaid non-managed care benchmark and benchmark-equivalent plans, the Children’s Health Insurance Programs (CHIP), and Medicaid managed care programs.

In this article, Alice Weiss examines Oklahoma’s efforts to streamline and modernize Medicaid enrollment. Oklahoma is the only state so far to implement an online application system for Medicaid, and its automated eligibility determination system for Medicaid is among the most modern and efficient nationwide, with the state is expected to achieve a nearly three-to-one return on its investment in 2015.

In this letter to State Medicaid Directors, the Centers for Medicare and Medicaid Services (CMS) provide recommendations for the core set of health care quality measures to be used for assessing the health home service delivery. This core set was released to help guide states as they consider the design and implementation of their health home programs.