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.
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.
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.
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.
NOTE: This blog was orginally published in Health Affairs on January 24, 2019.
The Utah Senate approved a bill this week that would repeal and replace the voter-approved Medicaid expansion ballot initiative, Proposition 3, which passed with 54 percent of the vote in Utah’s election this past November. Proposition 3, if implemented, is poised to bring health care coverage to over 150,000 Utahns with annual incomes below $17,236 for an individual and $29,435 for a families of three.
This advocacy agenda offers options for improving health and health care at the state level during the 2019 session. It includes state policy options to consider in 2019 regarding private insurance coverage, Medicaid, oral health coverage, health equity, prescription drugs, surprise medical bills, and health care value.
States’ experience shows that Medicaid expansion at the enhanced federal match can generate state savings across multiple budget areas. Those savings can be substantial, offsetting most or all of the state’s share of expansion costs. A full analysis the budget impact of expanding Medicaid must include an assessment of those savings.