Biden-Harris Administration Releases New Medicaid and CHIP Renewal Data Showing the Role State Policy Choices … – HHS.gov
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Sec. Becerra Calls on Nine States with the Highest Child Disenrollments to Immediately Take Up Proven Federal Flexibilities to Protect Children and Families; Biden-Harris Administration Extends Federal Flexibilities to States Until End of 2024
Today, the U.S. Department of Health and Human Services (HHS) released new data on state Medicaid and Children’s Health Insurance Program (CHIP) enrollment changes among children and youth since full eligibility renewals for these programs restarted earlier this year. The data released today make it clear that state policy choices have real consequences for children and families during Medicaid and CHIP renewals. States that take up proven flexibilities and strategies from the Centers for Medicare & Medicaid Services (CMS) are better able to protect kids’ coverage – especially when the state has also expanded Medicaid.
According to the data:
In light of this data, CMS released new comprehensive guidance to states on strategies to protect Medicaid and CHIP coverage for children during this return to regular Medicaid and CHIP renewals. The guidance also announced an extension of these federal strategies for states through the end of 2024.
Secretary Becerra also sent letters to the governors of nine states with the highest child disenrollment rates by number and percentage, urging them to adopt additional federal strategies and flexibilities to help prevent children and their families from losing coverage due to red tape. Those states include Arkansas*, Florida*, Georgia*, Idaho*, Montana*, New Hampshire*, Ohio*, South Dakota*, and Texas*. These nine states account for about 60% of the decline in children’s Medicaid and CHIP enrollment from March through September 2023, as indicated in the data release today. This is especially important for children and families of color who are likely disproportionately impacted.
“I urge you to ensure that no eligible child in your state loses their health insurance due to ‘red tape’ or other bureaucratic barriers during the Medicaid enrollment process,” said Secretary Becerra.
Because children’s eligibility thresholds are generally higher than those for adults, many children who have been disenrolled may still meet substantive Medicaid or CHIP eligibility requirements – underscoring the need for states to take further action to prevent eligible children from falling through the cracks. In his letter, Secretary Becerra called on these governors to:
The actions taken today reflect HHS’ continued commitment to helping people access comprehensive, high-quality health coverage, whether through Medicaid, CHIP, the Health Insurance Marketplaces, Medicare, or an employer. To date, HHS, through CMS, has issued extensive guidance to states on federal Medicaid and CHIP renewal requirements, approved nearly 400 flexibilities for states to make renewals easier for people, made a special enrollment period available on HealthCare.gov to help individuals no longer eligible for Medicaid transition to Marketplace coverage, engaged with stakeholders across the public and private sectors, and conducted extensive outreach and advertising efforts to improve awareness about the return to regular Medicaid and CHIP renewals. HHS will continue to closely monitor states’ renewal efforts to ensure their compliance with federal Medicaid renewal requirements and will not hesitate to take action where it identifies issues of non-compliance.
“CMS is doing everything in our power to protect access to health coverage during the Medicaid and CHIP renewal process, especially for children,” said CMS Administrator Chiquita Brooks-LaSure. “That’s why we’ve put forward dozens of strategies for states to protect children and families’ ability to stay covered. Many states have worked with us to adopt the strategies we’ve put on the table – and we strongly urge all states to do their part to make sure eligible children keep the coverage they need to grow and thrive.”
In addition to this data release on children and youth, CMS is releasing a CMS Informational Bulletin that highlights steps states can take to help keep eligible children enrolled in Medicaid and CHIP and announces for the first time that (e)(14) flexibilities will be available at least through the end of 2024, giving states even more opportunity to take up these strategies; new guidance to support transitions to other forms of coverage, including from Medicaid to CHIP and additional guidance to help states adopt CMS’ strategies and flexibilities to promote continuity of coverage; and data describing other enrollment trends during renewals, including trends related to Health Insurance Marketplace® enrollment.
* This content is undergoing Section 508 remediation and people with disabilities may experience issues accessing the content. If you need assistance, contact media@hhs.gov.
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