The Arizona Health Care Cost Containment System (AHCCCS), which covers 2 million low-income Arizonans and Arizonans with disabilities, is pitching a five-year lifetime limit on services and work requirements for certain enrollees.
As of January, adults ages 18 to 64 made up 54% of AHCCCS enrollment, totaling 1.1 million members....
President Donald Trump's second administration has a very ambitious and expensive agenda that Congressional Republicans are busy balancing. The party's main target for government savings is Medicaid, and state-level lawmakers are clearing the way for the anticipated federal changes.
Medicaid covers roughly 80 million American adults...
Although the topic of Medicaid was largely left out of both campaigns this election cycle, the incoming Trump administration is expected to make some major policy changes to the safety net health program now covering 69 million Americans.
Medicaid and the Children's Health Insurance Program (CHIP) are likely bargaining chips to make...
The Trump campaign made several promises for the future of U.S healthcare policy that the new administration may or may not be able to fulfill. From the personnel appointed to federal regulatory positions, to abortion to Medicaid, experts are weighing in on how to constrain the next president's ability to affect the...
The U.S. House of Representatives has approved a bill to raise the national debt ceiling that will impact residual COVID-19 funding, but leaves Medicaid without work requirements.
House Republicans passed a debt ceiling bill that included Medicaid work requirements, which the U.S. Department of Health and Human Services (HHS)...National News
Negotiations between the White House, Congressional Republicans and Democrats remain at a stalemate as the deadline to raise the country's debt ceiling approaches. House Speaker Kevin McCarthy is holding fast to his party's demand for Medicaid work requirements.
Under the Republican plan, according to NBC News, Medicaid recipients...National News
As House Republicans continue to use the threat of the debt ceiling to pass work requirements for the Medicaid program, providers and industry experts are voicing concerns for how such requirements could play out.
The bill stipulates that certain adults between the ages of 18 and 55 who have Medicaid coverage in Medicaid expansion...National News
The Republican-led U.S. House of Representatives passed House Speaker Kevin McCarthy's (R-Calif.) proposal to raise the national debt ceiling. The deal includes a requirement that certain Medicaid beneficiaries work or volunteer at least 80 hours per month to continue receiving health insurance.
Roughly 21 million Medicaid...Arizona News
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...
