- HomelessnessPeople experiencing homelessness are already at higher risk for COVID-19 due to underlying health risks and other factors, while homelessness itself creates barriers to meeting social distancing guidelines and accessing testing and treatment.This brief explores issues related to risks related to COVID-19, vaccine priority in state plans, and other policy options that affect access to vaccines for people experiencing homelessness.
- TrackerInformation on approved Medicaid emergency authorities to address the COVID-19 Coronavirus emergency. We include details on Medicaid Disaster Relief State Plan Amendments (SPAs), other Medicaid and CHIP SPAs, and other state-reported administrative actions; Section 1115 Waivers; Section 1135 Waivers; and 1915 (c) Waiver Appendix K strategies.
- LTSSOur review of a range of measures, beyond waiver waiting lists, finds substantial state variation in adoption of policies to expand Medicaid for seniors and people with disabilities, with states’ ACA expansion status not a strong predictor of policy choices related to seniors and people with disabilities. Understanding current state-level variation in Medicaid eligibility, spending, and services for seniors and people with disabilities is important to inform upcoming policy debates.
- People With DisabilitiesMany nonelderly people with disabilities who rely on long-term care services and supports (LTSS) face COVID-19 risks similar to those of the elderly in nursing homes. At least 6,500 people have died from COVID-19 in settings such as group and personal care homes and adult day care programs, but with varied state reporting, this is an incomplete picture of how nonelderly people with disabilities have been affected. People who rely on LTSS outside of nursing homes include adults with a variety of conditions such as autism, Down syndrome, serious mental illness and traumatic brain injuries.
Potential Impact of Additional Federal Funds for Medicaid HCBS for Seniors and People with DisabilitiesA provision in the American Rescue Plan Act could boost federal matching money for state spending on Medicaid home and community-based services (HCBS) by an estimated $11.4B over the next year. We analyze what that could mean for each state.
Medicaid HCBS help seniors and people with disabilities and chronic illnesses live independently outside institutions by assisting with daily needs. They include home health aide services, assistance with self-care tasks such as eating or bathing, supportive housing, and assistive technology.
Medicaid Spending and Enrollment Trends Amid the COVID-19 Pandemic – Updated for FY 2021 & Looking Ahead to FY 2022
The public health and economic effects of the pandemic continue to put pressure on Medicaid spending and enrollment. State Medicaid agencies expect overall FY 2021 enrollment to exceed original projections (30 of 37 responding states). Two-thirds of states with updated projections for FY 2021 expect total Medicaid spending to exceed original projections. State projections for FY 2022 were mixed if spending growth would be higher or lower relative to FY 2021
State Medicaid Programs Respond to Meet COVID-19 Challenges: Results from a 50-State Medicaid Budget Survey
Our annual in-depth, state-specific examination of policy changes and initiatives in Medicaid programs find that this year many involve responses to the COVID-19 pandemic. We present the latest on eligibility and enrollment, provider rates, delivery systems, long-term services and supports, pharmacy actions, benefits, cost-sharing, telehealth and more.
Bookmark our Medicaid waiver tracker page for the latest information on pending and approved Section 1115 Medicaid waivers.
- What to WatchMedicaid covers 1 in 5 low-income Americans, including many with complex and costly needs for care.
- Data Collection Sixty-nine percent of Medicaid beneficiaries nationally get care through managed care organizations. Get state-level, MCO-level and parent firm-level data.
- Managed Care53.9 million Medicaid beneficiaries (69%) received their care through comprehensive risk-based managed care organizations (MCOs), as of July 2018. In FY 2019, payments made to Medicaid MCOs accounted for about 46% of the nearly $604 billion that states and the federal government spent on Medicaid services that year.
Medicaid and CHIP Eligibility and Enrollment Policies as of January 2021: Findings from a 50-State SurveyOur 19th annual survey of Medicaid and CHIP program officials provides data on eligibility levels in every state. It also examines key aspects of state enrollment and renewal procedures in place during the COVID-19 public health emergency.