Resource Search Results

Unwinding the Medicaid Continuous Enrollment Provision and Returning to Regular Operations after COVID-19 (2023). Resource Type: Publication. Description: The expiration of the continuous coverage requirement authorized by the Families First Coronavirus Response Act (FFCRA) presents the single largest health coverage transition event since the first open enrollment period of the Affordable Care Act. As a condition of receiving a temporary 6.2 percentage point Federal Medical Assistance Percentage (FMAP) increase under the FFCRA, states have been required to maintain enrollment of nearly all Medicaid enrollees. When the continuous coverage requirement expires, states will have up to 12 months to return to normal eligibility and enrollment operations. Additionally, many other temporary authorities adopted by states during the COVID-19 public health emergency (PHE), including Section 1135 waivers and disaster relief state plan amendments (SPAs), will expire at the end of the PHE, and states will need to plan for a return to regular operations across their programs. CMS will continue to update this page as additional tools and resources are released. More Details...

Strategic Approaches to Engaging Managed Care Plans to Maximize Continuity of Coverage as States Resume Normal Eligibility and Enrollment Operations: January 2023 Update (2023). Resource Type: Publication. Description: The COVID-19 pandemic and implementation of federal policies to address the resulting public health emergency (PHE) have disrupted routine Medicaid and Children’s Health Insurance Program (CHIP) eligibility and enrollment operations. States will have a 12-month unwinding period following tthe end of the PHE to initiate all pending post-enrollment verifications, redeterminations, and renewals. CMS is working closely with states and other stakeholders to ensure, as states resume routine operations, that renewals of eligibility occur in an orderly process that minimizes beneficiary burden and promotes continuity of coverage for eligible individuals, including those who no longer qualify for Medicaid or CHIP and therefore may transition to a different form of coverage, such as through a Marketplace. More Details...

Status of State Level Medicaid Benefits for Medical Respite Care (2022). Resource Type: Publication. Description: The Centers for Medicare and Medicaid Services (CMS) is permitting substantial flexibility in programmatic design in state Medicaid waivers to allow transformative initiatives. At the same time, the federal agency is also establishing new guardrails and conditions—balancing that flexibility with new obligations. The programmatic flexibility and substantial investments associated with these approvals will allow states to stabilize coverage, offer new benefits and services, and focus on whole-person care. This issue brief is intended to provide a current snapshot of the state-level Medicaid activity related to medical respite care. More Details...

Medicaid Redeterminations & the End of the COVID-19 Public Health Emergency: Implications for the HCH Community (2022). Resource Type: Publication. Description: This fact sheet describes how the HCH Community should prepare for Medicaid redeterminations as part of the PHE unwinding. More Details...

Unwinding the Medicaid Continuous Enrollment Provision: Projected Enrollment Effects and Policy Approaches (2022). Resource Type: Publication. Description: This issue brief presents current HHS projections of transitions in coverage due to the sunset of the continuous enrollment provision at the end of the PHE; describes administrative actions underway to mitigate coverage losses; and highlights legislative approaches including the Inflation Reduction Act of 2022 that could help promote seamless coverage transitions at the end of the PHE. More Details...

Promising Practices: Providing Behavioral Health Care in a Medical Respite Setting (2022). Resource Type: Publication. Description: This report presents a summary of the findings and highlights promising practices in behavioral health care that are currently being implemented in medical respite care (MRC) programs across the country. It outlines strategies and approaches that can be replicated and adapted to other programs’ unique contexts, equipping them to deliver high-quality care that is consistent with the Standards for Medical Respite Care and is responsive to the needs of people experiencing homelessness (PEH) in their communities. More Details...

CalAIM: Major Components and Current Implementation Status (2022). Resource Type: Archived Webinar. Description: This webinar reviews the major components of the California Advancing and Innovating Medi-Cal (CalAIM) initiatives, including: Enhanced Care Management, Community Supports, Behavioral Health (Criteria to Access Specialty Mental Health and No Wrong Door), and the Population Health Management Strategy and Roadmap. Presenters will provide an overview of the initiatives, timeline, and strategic implications for health centers. This conversation is meant to be a high-level overview of the most impactful initiatives to health centers. More Details...

Leveraging Federal Recovery Money to Maintain and Expand Health Center Services and Partnerships: Medicaid Home and Community Based Service (HCBS) (2022). Resource Type: Publication. Description: States and localities have significant new funding via the CARES Act and the American Rescue Plan Act. This brief is part of a series that will describe in detail the Medicaid funding sources, the differing processes by which funding becomes available at the state and local level, and the planning and stakeholder input process each funding stream requires before awarding or implementing funds. More Details...

PHE Unwinding Readiness for Health Centers: Preparing Medicaid Beneficiaries for Eligibility Determinations (2022). Resource Type: Archived Webinar. Description: This webinar from 6/29/22 features national policy experts and community health center outreach and enrollment leaders and staff who will highlight their strategies and efforts to prepare their patients and communities for the end of the PHE. More Details...

Chiropractors as part of Health Center Teams (2022). Resource Type: Archived Webinar. Description: This webinar discussed the value of chiropractic treatment as a primary care intervention. Our panelists discussed the role of chiropractic specialists in the primary care team and reviewed the integration of chiropractic services. More Details...

Social Determinants of Health— Medicaid Coverage and Payment (2022). Resource Type: Publication. Description: Recent guidance from the Centers for Medicare and Medicaid Services (CMS) provides new clarity on Medicaid and SCHIP authority for reimbursement of SDOH screening and interventions in particular circumstances. This publication demonstrates opportunities to use SDOH screening tools such as PRAPARE to improve the delivery of care through enhanced data collection and relationships with safety-net programs. More Details...

Clinical Quality Measures for Eligible Professionals: 2022 Update (2022). Resource Type: Publication. Description: This spreadsheet developed by the HITEQ Center provides a crosswalk of Clinical Quality Measures and their electronic specifications as defined in the 2022 update for Eligible Professionals (Clinicians). More Details...

Statewide Medicaid Benefit for Medical Respite Care: Issues Informing Benefit Design and Implementation (2022). Resource Type: Publication. Description: The Centers for Medicare and Medicaid Services (CMS) have encouraged states to consider how to address social determinants of health in their Medicaid plans. Washington State Health Care Authority recognizes the benefits of a statewide MRC service, and is proposing it as part of Washington State’s Medicaid Transformation Project Section 1115 Demonstration Renewal Request as a health-related service for Apple Health enrollees in both managed care and FFS delivery systems. More Details...

Expanding Options for Health Care Within Homelessness Services: CoC Partnerships with Medical Respite Care Programs (2022). Resource Type: Publication. Description: A brief to improve health care quality and outcomes for people experiencing homelessness during the COVID-19 response by strengthening partnerships between homelessness assistance systems and medical respite care (MRC) providers. This brief features the views of both Continuums of Care (CoCs) and MRC staff about how to best integrate operations at the systemic level, as well as featuring a community spotlight on the CoC-MRC partnership in Yakima, Washington. More Details...

CMS Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule: Health Center Compliance and Equitable Implementation (2021). Resource Type: Archived Webinar. Description: On November 4, 2021, the Centers for Medicare and Medicaid Services issued the Omnibus COVID-19 Health Care Staff Vaccination Interim Final Rule requiring health care workers at Medicare and Medicaid-certified facilities to be vaccinated unless they have approved religious or medical exemptions. Under the Centers for Medicare and Medicaid (CMS), FQHCs are considered a “facility” and will need to comply as a condition for participating in the Medicare and Medicaid program. More Details...

Providing Mental Health Assessments for Gender Affirming Surgery Referral Letters (2021). Resource Type: Archived Webinar. Description: In this talk from the 2021 Advancing Excellence in Transgender Health conference, Sarah reviews areas to cover when conducting an assessment of mental health and readiness for gender-affirming surgery referral letter requests. The session is presented through a lens of social justice, and from the perspective of providing trauma-informed and gender-affirming care. Aspects of the client-provider power differential and gatekeeping role are discussed. Participants will learn what questions to include in the assessment and how to ask clients such questions in order to support clients\' goal(s) for gender- affirming surgeries, and identify insurance-based eligibility criteria for emotional and practical readiness for gender-affirming surgeries. More Details...

Addressing Social Determinants of Health to Improve Diabetes Outcomes (2021). Resource Type: Publication. Description: In this blog, NCHPH discusses how various social determinants of health can affect persons living with diabetes, in addition to best practices taken to address these social determinants of health. More Details...

Telehealth for Supportive Housing Providers - CSH Three Part Telehealth Series: Guidance for Providers looking to adapt and are considering Billing for themselves (2020). Resource Type: Publication. Description: In the COVID19 environment technology can be used as a complement to face-to-face services, and also as a service on its own. Technology options can be especially useful for people with depression or suffering from distress, and when there are difficulties in physically meeting with tenants. More Details...

Payment and Delivery Reform: Medicaid in the Time of COVID-19 (2020). Resource Type: Publication. Description: NACHC hosted a 3-part virtual peer learning opportunity on “Medicaid in the Time of COVID-19” as a year-end wrap-up to the 2019 Payment and Delivery Reform Summit. More Details...

Telehealth.HHS.gov website (2020). Resource Type: Other. Description: The Telehealth.HHS.gov website provides information about the latest federal efforts to support and promote telehealth services. It was built by the Health Resources and Services Administration (HRSA), an agency of the U.S. Department of Health and Human Services (HHS). More Details...