![]() ![]() Section 1902(e)(14)(A) of the Social Security Act allows for waivers “as are necessary to ensure that states establish income and eligibility determination systems that protect beneficiaries.” CMS had previously leveraged 1902(e)(14) authority when states were transitioning their eligibility and enrollment systems to come into compliance with the Affordable Care Act. To support states in their efforts to successfully “unwind” from the Medicaid continuous coverage requirement and resume normal eligibility and enrollment operations, the Centers for Medicare & Medicaid Services (CMS) has made available a number of time-limited 1902(e)(14) waiver authorities. Medicaid and Children’s Health Insurance Program (CHIP) agencies will also be charged with facilitating smooth transitions of coverage to the Marketplace to ensure eligible individuals retain access to care and to protect against disproportionate coverage lossamong people of color. When the federal PHE ends, states will resume Medicaid redetermination processes for nearly 80 million enrollees and address an unprecedented volume of other outstanding eligibility and enrollment actions within a condensed period of time. ![]() ![]() States are required to maintain enrollment for their Medicaid enrollees through the end of the public health emergency (PHE) as a condition of receiving enhanced Federal Medical Assistance Percentage under the Families First Coronavirus Response Act. Kinda Serafi, Kaylee O’Connor, and Patricia Boozang, Manatt Health Background ![]()
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