Georgetown College’s Middle on Well being Insurance coverage Reforms (CHIR) and the Middle for Kids and Households (CCF) have revealed two new assets analyzing state-level preparations for the top of the COVID-19 public well being emergency and the redetermination of the Medicaid eligibility of near 85 million individuals. Though the date of the top of the general public well being emergency is unsure, many observers count on the Biden administration to increase it only one extra time and permit it to run out in lower than 4 months (most definitely mid-July, 2022). This isn’t a lot time for state officers to take the required steps to make sure that the estimated 16 million individuals anticipated to be disenrolled from Medicaid don’t lose entry to medical health insurance protection and important companies.
Views from State Well being Officers on the Finish of Medicaid’s Steady Protection Requirement
A brand new issue brief from researchers at CHIR and the City Institute examines the planning that state-based Marketplaces and their counterparts in state Medicaid businesses are enterprise to organize for the top of the general public well being emergency and the continual enrollment provisions. Researchers performed structured discussions with Market and Medicaid officers in 11 states to get an understanding of planning efforts, greatest practices, and dangers related to the upcoming protection transitions.
How properly built-in Medicaid and Market businesses are, how a lot planning is going down, and the way businesses coordinate information sharing and outreach methods fluctuate considerably throughout states. State officers outlined methods wherein they’re working to beat a number of challenges, together with lack of lead time, workload and staffing challenges, lack of information, expertise glitches, and market instability. A number of states are pursuing revolutionary methods to mitigate protection loss and ease shoppers’ transitions into various sources of protection.
You possibly can learn the complete temporary here.
Medicaid and CHIP Eligibility and Enrollment Insurance policies as of January 2022: Findings from a 50-State Survey
The twentieth annual survey of state Medicaid and Kids’s Well being Insurance coverage Program (CHIP) officers performed by KFF and Georgetown’s CCF in January 2022 presents a snapshot of actions states are taking to organize for the lifting of the continual enrollment requirement, in addition to key state Medicaid enrollment and renewal procedures in place through the PHE.
The survey means that many state Medicaid businesses haven’t but adequately ready for the resumption of eligibility redeterminations and renewals. A number of states are considering an accelerated course of that might enhance the danger that individuals shall be disenrolled in error or solely for administrative causes, similar to an premature response to a request for data. Moreover, whereas a wholesome majority of states plan to extend their staffing capability to regulate to the elevated workload, many should not, making it extra doubtless that buyers will face overwhelmed case employees and name facilities. On common, state Medicaid businesses are reporting that 13 % of these presently enrolled of their applications shall be disenrolled.
You possibly can learn all of the findings from the 50-state survey here.