To help prevent cuts to home- and community-based services (HCBS), policymakers should substantially raise the federal government’s share of state Medicaid costs (the “FMAP”), as House Speaker Nancy Pelosi’s new economic relief proposal would do. The bill also includes an important, targeted FMAP increase for HCBS, and both policies are needed to ensure that seniors and people with...
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POLICY INSIGHT
BEYOND THE NUMBERS
BEYOND THE NUMBERS
More States Reconsidering Medicaid Work Requirements
January 9, 2020
Six states — Arizona, Indiana, Kentucky, Maine, New Hampshire, and Virginia — have reversed or suspended their plans to take Medicaid coverage away from people who don’t meet work requirements. Other states with similar approved or pending waivers from the federal government also should reconsider these harmful policies.
The six states reconsidering their work requirement policies cited...
Medicaid Improper Payment Rates Don’t Measure Ineligible Enrollees, Fraud, or Abuse
November 18, 2019
Update, November 21: We updated this post to reflect CMS’ release of improper payment rates.
The Centers for Medicare & Medicaid Services (CMS) recently released the 2019 Estimated Payment Error Rate Measurement (PERM) rate,...
Arizona the Latest State to Reconsider Medicaid Work Requirements
October 22, 2019
Arizona is suspending its plan to take Medicaid coverage away from people who don’t meet work requirements, adding to the growing list of states making similar decisions. Other states with approved or pending work requirement waivers also should reconsider these harmful policies.
In...
Trump on Partial Medicaid Expansion: Right Decision, Wrong Reasons
July 30, 2019
The Trump Administration is rejecting Utah’s request to receive the Affordable Care Act’s (ACA) enhanced federal funding to provide Medicaid coverage for only part of the population of poor and near-poor adults that states can cover by expanding their Medicaid programs under the ACA.
ACA Lawsuit Threatens Tens of Millions of Medicaid, Medicare Beneficiaries
July 30, 2019
On Medicaid and Medicare’s 54th birthday, tens of millions of beneficiaries face direct harm from litigation seeking to overturn the Affordable Care Act (ACA) — which strengthened both programs and updated how they operate, transforming Medicaid’s eligibility rules and...
NH Medicaid Work Requirement Suspension Confirms: Policy Can’t Be Fixed
July 9, 2019
New Hampshire has suspended a policy to take Medicaid coverage away from people not meeting work requirements, recognizing that it was on pace for large coverage losses — potentially...
Important Medicaid Initiatives Would End if Decision Overturning ACA Stands
July 8, 2019
A federal appeals court will hear oral arguments tomorrow on whether a district court decision striking down the entire Affordable Care Act (ACA) should stand...
GAO: More Transparency Needed in Federal Review of Medicaid Waiver Proposals
June 3, 2019
Lack of transparency in how the Centers for Medicare & Medicaid Services (CMS) reviews state Medicaid waiver requests “may leave the agency and the public without key information to fully understand the potential impact of the changes being proposed, including on beneficiaries and costs,” according to a new report from the Government...
