Medicaid
Unwinding the Public Health Emergency
A 50-State Review of Access to State Medicaid Program Information for People with Limited English Proficiency and/or Disabilities Ahead of the PHE Unwinding
When the continuous enrollment requirement related to the COVID-19 public health emergency (PHE) ends and states resume regularly scheduled redeterminations and renewals, individuals with LEP and/or disabilities may be at increased risk of losing coverage, despite remaining eligible, due to barriers in accessing eligibility and renewal information.
This issue brief reviews accessibility of information for people with LEP and people with disabilities provided through state Medicaid websites and call center automated phone trees as of June 16, 2022.
The analysis shows that while states have taken some steps to support access to information and applications for people with LEP and people with disabilities, gaps in accessibility remain.
Read Our Other Analyses About the End of the PHE
This issue brief reviews accessibility of information for people with LEP and people with disabilities provided through state Medicaid websites and call center automated phone trees as of June 16, 2022.
The analysis shows that while states have taken some steps to support access to information and applications for people with LEP and people with disabilities, gaps in accessibility remain.
Read Our Other Analyses About the End of the PHE
As 2022 Legislative Sessions End, Most States Are Adopting New Option to Extend Medicaid Postpartum Coverage
Two-thirds of states (33 + DC) have extended or plan to extend Medicaid postpartum coverage to 12 months. We review recent action as the rollback of abortion rights has refocused attention on the importance of coverage for pregnancy and postpartum care..Demographics and Health Insurance Coverage of Nonelderly Adults With Mental Illness and Substance Use Disorders in 2020
The pandemic has exacerbated mental illness and substance use disorders and may have increased access problems. We examine key characteristics and coverage and health status of nonelderly adults with mental illness or substance use disorders in 2020.Medicaid Enrollment Patterns During the Pospartum Year
Medicaid’s option to extend postpartum coverage could prevent hundreds of thousands of enrollees from losing coverage in the months after delivery. 33 states have adopted the option, which is getting more attention after Roe v Wade was overturned..After Roe: Options to Address Medicaid Coverage Policy Related to Maternal and Child Health
Many of the very states that have banned abortion following the Supreme Court’s overturning of Roe v. Wade have not taken advantage of current federal options to strengthen health coverage for their state residents, most notably for women who give birth and children.Medicaid and Racial Health Equity
The COVID-19 pandemic has highlighted and exacerbated longstanding racial and ethnic disparities in health and health care. Our analysis provides insight into the role Medicaid can play in advancing racial health equity by answering three key questions:
– How does health coverage vary by race and ethnicity?
– How can Medicaid help to reduce racial health disparities?
– What are key issues to watch looking ahead?
Coronavirus
Medicaid Public Health Emergency Unwinding Policies Affecting Seniors & People with Disabilities: Findings from a 50-State Survey
We surveyed states about anticipated changes in enrollment among people eligible for Medicaid based on old age or disability (“non-MAGI”) after the public health emergency ends and states resume normal enrollment/renewal policies.
While non-MAGI enrollment rose during COVID-19, most states anticipate coverage losses at the end of the PHE – most likely due to income changes or the inability of Medicaid workers to reach enrollees. Staffing shortages and enrollee confusion were the most frequently cited issues.
Related: Medicaid Financial Eligibility in Pathways Based on Old Age or Disability in 2022
While non-MAGI enrollment rose during COVID-19, most states anticipate coverage losses at the end of the PHE – most likely due to income changes or the inability of Medicaid workers to reach enrollees. Staffing shortages and enrollee confusion were the most frequently cited issues.
Related: Medicaid Financial Eligibility in Pathways Based on Old Age or Disability in 2022
LTC & COVID-19
Nursing Facility Staff Vaccinations, Boosters, and Shortages After Vaccination Deadlines Passed
Nursing facility staff COVID-19 vaccination rates rose to 88 percent nationally by March 2022, the deadline for states to comply with the federal vaccine mandate for health care workers. That’s up 25 percentage points from Aug. 2021, when the fed government announced the forthcoming mandate. While a number of factors may have been at work, it appears that the mandate contributed to the increases in staff vaccination rates.
Data suggest that the federal vaccine mandate for health care workers has not exacerbated nursing home staff shortages. Twenty-eight percent of nursing homes reported staffing shortages as of March 2022, down from nearly 1 in 3 in January 2022.
Data suggest that the federal vaccine mandate for health care workers has not exacerbated nursing home staff shortages. Twenty-eight percent of nursing homes reported staffing shortages as of March 2022, down from nearly 1 in 3 in January 2022.
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Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State
Bookmark our Medicaid waiver tracker page for the latest information on pending and approved Section 1115 Medicaid waivers. Tracking Social Determinants of Health During the COVID-19 Pandemic
The COVID-19 pandemic exacerbated existing health disparities for a broad range of populations, but specifically for people of color. We examine how adults are faring on a range of social determinants of health.Who Could Get Covered Under Medicaid Expansion? State Fact Sheets
Twelve states have not adopted the ACA Medicaid expansion. Who would become eligible for Medicaid if these states chose to expand?Medicaid Spending and Enrollment: Updated for FY 2022 and Looking Ahead to FY 2023
In our mini-survey update, state Medicaid agencies project the state share of Medicaid spending will increase sharply by 14% in FY 2023, following the expected end of the Public Health Emergency and the loss of pandemic-related enhanced federal funding.
10 Things to Know About Medicaid Managed Care
Sixty-nine percent of Medicaid beneficiaries are enrolled in comprehensive managed care plans nationally. We describe 10 themes related to the use of comprehensive, risk-based managed care in the Medicaid program and highlight significant data and trends.
