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CMS: Fewer Medicaid/CHIP services accessed during pandemic
Children and adults in Medicaid and the Children’s Health Insurance Program used 26 million fewer mental care health services between March and October 2020 than during the same period in 2019, declining 34% for children and 22% for adults, according to preliminary data released by the Centers for Medicare & Medicaid Services.
GAO announces new MACPAC members
The Government Accountability Office named five new members to the Medicaid and CHIP Payment and Access Commission, which advises Congress on issues affecting Medicaid and the Children’s Health Insurance Program.
House passes AHA-supported Helping MOMS Act
The House of Representatives passed by voice vote the AHA-supported Helping Medicaid Offer Maternity Services Act (H.R. 4996), as amended.
MACPAC issues Medicaid, CHIP recommendations to Congress
The Medicaid and Children’s Health Insurance Program Payment and Access Commission released its March report to Congress, which recommends automatically increasing the federal share of Medicaid expenditures during economic downturns to support increased enrollment and decreased state revenue.
CMS Proposes Rules to Accelerate Electronic Exchange of Health Care Data, Including for Prior Authorization Requests
At a Glance
The Centers for Medicare & Medicaid Services (CMS), in coordination with the Office of the National Coordinator for Health Information Technology (ONC), Dec.
AHA urges agencies to protect hospitals and patients from certain unfair, anticompetitive practices
The AHA urged the Centers for Medicare & Medicaid Services to use its oversight authority for Medicare Advantage, Medicaid managed care, Children’s Health Insurance Program and Health Insurance Marketplace health plans to prevent UnitedHealthcare from implementing certain diagnostic and specialty pharmacy coverage restrictions for enrollees.
CMS releases tools to help states address COVID-19-related Medicaid/CHIP policies
The Centers for Medicare & Medicaid Services Jan. 15 released two planning tools to help states return to regular Medicaid and Children’s Health Insurance Program operations after the COVID-19 public health emergency ends, when many flexibilities and waivers granted to states for the emergency will end unless extended or made permanent.
CMS finalizes rule for health plan prior authorization in certain federal programs
The Centers for Medicare & Medicaid Services issued a final rule that seeks to streamline prior authorization processes implemented by health plans serving the Medicaid, Children’s Health Insurance Program and federal Health Insurance Marketplace.
CMS updates guidance on Medicaid/CHIP coverage for COVID-19 vaccinations
Centers for Medicare & Medicaid Services released updated guidance for states and territories on Medicaid, Children’s Health Insurance Program and Basic Health Program coverage and reimbursement for COVID-19 vaccinations.
MACPAC: Medicaid and CHIP enrollment up 5.6% since July 2019
Enrollment in Medicaid and the Children’s Health Insurance Program increased 5.6% between July 2019 and July 2020, driven largely by the economic downturn created by the COVID-19 pandemic, according to a report released by the Medicaid and CHIP Payment and Access Commission.