An increasing number of states are making harmful changes to their Medicaid programs using “Section 1115 waivers.” Families USA is tracking state Medicaid waivers that restrict access to quality, affordable health care for low-income families and adults. This new grid offers an overview of the status of each state’s waiver proposal, the restrictive elements of the waiver proposal, and CMS’s decision on each element.
In January 2019, Families USA submitted these comments to the administration on its Medicaid Managed Care Proposed Rule. Our comments focus on proposed changes to sections related to information requirements, network adequacy, Medicaid managed care quality rating system/quality review, and appeals and grievance processes.
As state health care leaders look to leverage new opportunities to expand Medicaid in 2019, Families USA’s Medicaid Expansion Leadership Team (MELT) is developing resources and guides to assist state health care leaders and policy makers in understanding the value of increasing health care coverage for the uninsured. Families USA has produced an initial resource, the Medicaid Expansion Toolkit, for state health care leaders to use to implement Medicaid expansion in states.
State lawmakers this year face an array of decisions on health care coverage under Medicaid. Following the passage of ballot initiatives in 2018, the largest number of states are expected to take up plans to expand Medicaid since the Supreme Court ruled in 2012 that the new health care provision was optional.
This analysis summarizes the SPA approval process and identifies where delays in the process might occur.
This fact sheet provides advocates and policymakers a step-by-step overview comparing the approval process and timeline to get a SPA vs. Medicaid 1115 Waiver approved.
This fact sheet provides an analysis of the various strategies states utilize to generate the state share – the 10 percent- of the costs of expanding Medicaid.
On November 7, 2018—the morning after Election Day—the Trump administration proposed an “Exchange Program Integrity” rule governing coverage provided in health insurance marketplaces. Some parts of the proposal appear useful. Some changes offer potential help to consumers but require changes. Others threaten to create serious harm. On January 8, 2019, Families USA filed comments about each portion of the proposed rule.
Families USA is encouraged to see oral health coming up early in the 116th Congress with Senator Cardin introducing S. 22, the Medicare Dental Benefit Act of 2019 earlier this week. This legislation serves as an important opportunity for Congress to take a major step to improve the oral health, overall well-being, and financial security of seniors and people with disabilities in this country. Families USA is proud to join our partners at Oral Health America, Justice in Aging, and the Center for Medicare Advocacy in a letter supporting the major provisions of this bill.
Oral health matters for seniors in rural California. This population faces major barriers to good oral health, including cost, lack of dental coverage, and limited access to providers. Without addressing these barriers, rural seniors' overall health is worse, and our health care system is paying the price. Our new factsheet explains these barriers that California’s rural seniors face and the solutions policy makers can take to address them.