In 2021 almost 13 million people had health care through Medicare and Medicaid. These dual eligible individuals have the option of receiving care through Medicare Advantage plans for dual-eligible individuals, known as Dual-Eligible Special Needs … [Read more...] about KFF Report on Dual-Eligible Special Needs Plans (D-SNPs)
Medicaid
Update on Medicaid Unwinding from KFF
KFF’s Medicaid Enrollment and Unwinding Tracker provides information on Medicaid disenrollments, renewals, overall enrollment and other key indicators reported by states during the unwinding of the Medicaid continuous enrollment provision, which had … [Read more...] about Update on Medicaid Unwinding from KFF
Issue Brief on Substance Use Disorder Treatment for Duals Released
The Legal Action Center recently released an issue brief, “Two Plans Are Not Always Better Than One: Barriers to Substance Use Disorder Treatment for Dual-Eligible Individuals,” that identifies the unique barriers to substance use disorder treatment … [Read more...] about Issue Brief on Substance Use Disorder Treatment for Duals Released
Highlighting a Medicare Special Enrollment Period (SEP): Enrolling in Medicare After Termination of Medicaid Coverage
Reference: 42 C.F.R. 406.27 (Medicare Part A); 407.27 (Medicare Part B)May 25, 2023 - K. Holt … [Read more...] about Highlighting a Medicare Special Enrollment Period (SEP): Enrolling in Medicare After Termination of Medicaid Coverage
Center for Medicare Advocacy Opposes Work Requirements for Medicaid and Other Programs for People in Need
Yesterday, the U.S. House of Representatives narrowly passed H.R. 2811, which includes proposals that would be harmful to a number of public programs in exchange for lifting the Debt Ceiling. This includes misguided work requirements for … [Read more...] about Center for Medicare Advocacy Opposes Work Requirements for Medicaid and Other Programs for People in Need
Center Signs On to Letter Urging End to Harmful Rule
This week the Center for Medicare Advocacy joined with other national and state groups (150 in total) working on behalf of low income and underserved individuals and families urging CMS to fully rescind 42 C.F.R. § 433.400, which was promulgated in … [Read more...] about Center Signs On to Letter Urging End to Harmful Rule
Commonwealth Fund: Medicaid Reimbursement Rates Are a Racial Justice Issue
A recent Commonwealth Fund blog, Medicaid Reimbursement Rates Are a Racial Justice Issue, explores Medicaid reimbursement rates in the country, and ties the low rates to more limited access to care and worse outcomes for Medicaid beneficiaries, who … [Read more...] about Commonwealth Fund: Medicaid Reimbursement Rates Are a Racial Justice Issue
Medicaid SCOTUS Decision
This week the Supreme Court of the United States ruled 7-2 in Person v. Marstiller, Sec'y of the Fla. Agency for Health Care that states can take money Medicaid beneficiaries win in personal injury litigation for future medical expenses to recoup … [Read more...] about Medicaid SCOTUS Decision
Center Comments on Florida Managed Medical Assistance Waiver Request
The Center for Medicare Advocacy submitted joint comments with the Florida Health Justice Project (FHJP) to the Centers for Medicare and Medicaid Services (CMS) regarding Florida’s application to the CMS seeking a two-year extension of the 1115 … [Read more...] about Center Comments on Florida Managed Medical Assistance Waiver Request
CMS Releases Update to Manual for State Payment of Medicare Premiums
On September 8, 2020, the Centers for Medicare & Medicaid Services (CMS) released an updated version of the Manual for State Payment of Medicare Premiums (formerly called “State Buy-in Manual”). The Manual updates information and instructions for … [Read more...] about CMS Releases Update to Manual for State Payment of Medicare Premiums