This week offered dueling visions for access to Medicaid coverage with House Speaker Kevin McCarthy wanting Medicaid work requirements to be part of the debt ceiling debate and the Biden administration's plans to expand Marketplace and Medicaid coverage for DACA recipients. Meanwhile in Arizona, CMS approved state plan amendments...CMS Rules
Last week, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule that aims to improve quality reporting for Medicaid and the Children's Health Insurance Program (CHIP).
According to the CMS press release, the rule would include mandatory annual state reporting of three new quality measures, called "Core Sets,"...Arizona News
The Biden administration has officially blocked work requirements. Last Tuesday, the Centers for Medicare and Medicaid Services (CMS) sent an official letter to Wisconsin state health officials withdrawing approval for work requirements for the Wisconsin Medicaid program, BadgerCare.
According to NBC26 Green Bay, Acting CMS...Arizona News
Medicaid work requirements, which the Trump administration has strongly backed, are on hold in many states following federal district court and appellate court rulings holding that such policies are not consistent with the statutory objective of the Medicaid program to provide coverage, according to Modern Healthcare.
Of the 10...
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Prior to the New Year, the Centers for Medicare and Medicaid Services (CMS) approved Medicaid expansion with a work requirement in Utah, the latest in a long line of states tying expansion to such a requirement. In 2018, Utah voters approved Medicaid expansion, but it was kept from full implementation by state lawmakers who argued that...Arizona News
Last Thursday, the Trump Administration approved a request by the state of South Carolina to impose Medicaid work requirements. Nearly two dozen states have sought to implement Medicaid work requirements, but programs in three states have been set aside by the courts and Arizona suspended its AHCCCS Works program as other state court...
A dozen pages with the latest data on the AHCCCS Complete Care market mix, insurers' membership gains and losses YOY, new capitation rates, EPSDT, dental care and SDOH best practices, performance reviews including second-quarter plan report cards and more. Get the latest market footprint on RBHAs, ALTCS, DDD health plans along with...
A dozen pages with the latest data on the AHCCCS Complete Care market mix, insurers' membership gains and losses YOY, new capitation rates, EPSDT, dental care and SDOH best practices, performance reviews including second-quarter plan report cards and more. Get the latest market footprint on RBHAs, ALTCS, DDD health plans along with...
This month, The Hertel Report covers the latest local news on Medicaid work requirements, the closing of St. Luke's Medical Center, navigator challenges during open enrollment, details on Mayo's Clinic's five-year expansion plan and Arizona MA and ACA individual market mixes for 2020. National coverage include's the GOP health plan,...
In a letter dated Oct. 17, the Arizona Health Care Cost Containment System (AHCCCS) notified the Centers for Medicare & Medicaid Services (CMS) that it will postpone implementation of AHCCCS works until further notice, citing ongoing court battles over Medicaid work requirements and the "evolving national landscape concerning...
Lots of interesting news on the costs and impact of Medicaid work requirements, including a significant finger wag from the Government Accountability Office (GAO) and three federal judges who seem poised to strike down the controversial initiative now CMS approved in nine states, including Arizona.
For the first time, some states are...Arizona News
Arizona's Medicaid Program, the Arizona Health Care Cost Containment System (AHCCCS), is implementing work requirements beginning the fall of 2020 in Maricopa, Pima and Yuma counties. Eventually, nearly 120,000 Arizona residents on Medicaid will have to prove they are either working, studying or volunteering in order to continue...White Papers, E books, Reports and more
This issue brief released Aug. 8, by the Kaiser Family Foundation, provides insightful data on Medicaid enrollees and their work habits – it also examines some of the policy implications of state work requirements. Arizona is one of five states approved to begin imposing work requirements, which could begin as soon as next...Arizona News
As AHCCCS preps its community outreach efforts for the agency's pending work requirement program in Arizona, U.S. District Judge James Boasberg ruled on Monday that New Hampshire's design poses even greater concerns as the work programs he blocked in Arkansas and Kentucky earlier this year.
The Centers for Medicare and Medicaid...
Work requirements for Medicaid beneficiaries have currently been approved in nine states, including Arizona, and an estimated 76,000 to 103,000 Arizonans could lose coverage as a result. Hundreds of thousands of other beneficiaries across eight other states are also at risk of losing their coverage after 12 months of implementation,...Arizona News
The Trump administration took a blow last week in healthcare policy as a federal judge blocked Medicaid work requirements in both Kentucky and Arkansas. Currently, eight states have received approval form the Centers for Medicare and Medicaid Services (CMS) for waivers to establish work requirements, the most recent being Arizona, which...Arizona News
In a letter this week, the nonpartisan commission continued its criticism of the state's work requirement to Health and Human Services Secretary Alex Azar; Arkansas has no plans to pause the program, the first in the nation.
So far about 8,500 beneficiaries have been kicked off Arkansas' Medicaid program since its work requirement...Arizona News
Tennessee is now the fourth state to introduce a work requirement proposal for Medicaid enrollees, joined by Alabama, Michigan, and Virginia who also posted their proposals this month.
The waiver would require enrollees to seek or maintain work in order to keep Medicaid benefits. The state's requirements will specifically focus on...
