Medicaid in the headlines: 9 recent updates

HHS paused Medicaid enrollments in 30 states reporting issues with their automatic renewal systems, and some states are enacting or considering Medicaid expansion. 

  1. Adena Regional Medical Center is terminating its contract with Anthem BCBS' Medicare Advantage and managed Medicaid plans in Ohio, effective Nov. 2.  

  2. Proposed legislation would automatically enroll all children under age 18 in Medicaid. Sen. Bob Casey, a Pennsylvania Democrat, introduced the Medicaid for Every Child Act Sept. 15. The bill would automatically enroll children in Medicaid at birth through the age of 18, with no redetermination process. 

  3. North Carolina will launch its Medicaid expansion program Dec. 1, which is expected to provide more than 600,000 state residents with coverage. 

  4. Kansas Gov. Laura Kelly launched a statewide campaign pushing for Medicaid expansion, calling it her top priority for the state's legislative session next year.

  5. HHS paused procedural Medicaid terminations in 30 states reporting issues with their automatic renewal systems, and coverage for nearly 500,000 people improperly disenrolled through the error will be restored. 

  6. CMS is auditing Texas HHS to ensure the state is complying with federal requirements amid the Medicaid redeterminations process. CMS did not say if additional states are being audited.

  7. New York's Medicaid program paid $388 million for medical services between 2016 and 2022 that should have been paid by federally-funded plans such as Medicare, according to two audits from the state's comptroller. 

  8. Thirteen managed Medicaid plans in seven states received 4.5 star ratings for 2023 from the National Committee for Quality Assurance. No Medicaid plans received a five-star rating. Here are the plans that received 4.5 and four-star ratings from the committee. 

  9.  New Mexico had the highest percentage of residents enrolled in Medicaid in 2022, while Utah had the lowest, according to new data released by the Census Bureau as part of its American Community Survey.  

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