Eligibility and Enrollment
FEATURED ARTICLE
Looking Ahead: A Timeline of State Policy & Operational Considerations if Federal CHIP Funding Ends for States
/in Policy Charts CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by Anita CardwellWithout Congressional action, federal funding for the Children’s Health Insurance Program (CHIP) is due to end in September 2017. The National Academy for State Health Policy (NASHP) created this infographic to highlight the main policy and operational issues that would need to be considered and addressed in states with separate CHIP programs if future federal funding […]
State Medicaid and Early Intervention Agency Partnerships to Promote Healthy Child Development
/in Policy Reports CHIP, CHIP, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Quality and Measurement /by Felicia HeiderFacilitating a robust system of communication and coordination between medical and community service providers, an important goal of many health care delivery system reforms, is challenging for many states. With a variety of federal and state agencies sharing responsibility for child health and development, creating effective linkages among services is critical to optimizing outcomes. This […]
Early Highlights of What the Final Managed Care Rule for Medicaid and CHIP Could Mean for Children with Chronic and Complex Health Care Needs
/in Policy Blogs Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health /by Karen VanLandeghem and Tamara KramerLast week the Centers for Medicare and Medicaid Services (CMS) released its long-awaited final rule outlining requirements for managed care organizations in Medicaid and Children’s Health Insurance Programs (CHIP). Preliminary NASHP analyses indicate that the final rule provides states with significant flexibility in making changes designed to modernize these federal programs as part of health […]
Early Highlights of CMS’s Final Managed Care Rule for Medicaid and CHIP
/in Policy Blogs CHIP, CHIP, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care /by Tamara KramerOn April 25, the Centers for Medicaid and Medicare Services (CMS) released a long-awaited final rule that updates the regulations for managed care organizations in the Medicaid and Children’s Health Insurance Programs (CHIP). These new requirements represent the first major updates to Medicaid and CHIP managed care since 2002. In the intervening years, the percentage […]
Using CHIP and the ACA to Better Serve Children Now and in the Future
/in Policy Reports Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, Population Health, State Insurance Marketplaces /by Anita CardwellStates have made great strides in providing children in families with low-to-moderate income appropriate and affordable health coverage over the past two decades through Medicaid and the Children’s Health Insurance Program (CHIP). The Affordable Care Act (ACA) created new coverage options for other populations, including parents who were previously uninsured. However, the ACA also includes […]
State Insurance Commissions are Children’s Coverage Partners Too
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health /by NASHP WritersAccording to 2014 Census data more than half (61 percent) of all children in the United States are covered by private insurance, and 43 percent have public coverage (some children with private insurance are also enrolled in Medicaid.) Over the years many efforts, including much of the children’s coverage work at NASHP, have focused on […]
Webinar: Possible Opportunities for States to Improve Private Health Insurance for Children
/in Policy Webinars CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Maternal, Child, and Adolescent Health /by NASHP StaffKeeping a Focus on Children During Open Enrollment
/in Policy Ohio, Rhode Island, Washington Blogs CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Healthy Child Development, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, State Insurance Marketplaces /by Lesa RairThe Affordable Care Act’s (ACA) third annual open enrollment period kicked off November 1st and continues through January 31, 2016. During this time, individuals can enroll or renew coverage in qualified health plans through state and federal exchanges. The ACA’s open enrollment period is a great time to focus on reaching and enrolling children as […]
Top 5 Themes We Saw Emerge From #NASHPCONF15
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health IT/Data, Health System Costs, Maternal, Child, and Adolescent Health, Physical and Behavioral Health Integration, State Insurance Marketplaces /by NASHPState health policy leaders from all 50 states and the District of Columbia converged in Dallas for our largest-ever annual conference. Packed sessions and hallway conversations had the place abuzz with ideas and challenges as states move ahead with system-changing reforms. Without the brainpower of our members and attendees identifying key issues and best practices […]
State Strategies for Defining Medical Necessity for Children and Youth with Special Health Care Needs
/in Policy Reports Children/Youth with Special Health Care Needs, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health /by NASHP and Barbara WirthMedicaid programs nationwide are mandated to use the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit to improve the health of low-income children with special physical, emotional, and developmental health care needs. This benefit supports children and youth with special health care needs (CYSHCN) by ensuring they receive individualized health care when they need it—provided those services are deemed medically […]
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
View Each State’s Efforts to Extend Medicaid Coverage to Postpartum Women
/in Policy Charts, Featured News Home Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Maternal Health and Mortality, Maternal, Child, and Adolescent Health /by NASHP Staff