Why Did They Do It That Way? Program Integrity
Medicaid agencies use a variety of strategies to oversee providers and managed care plans, and to ensure that...
Program Administration
Eligibility and Enrollment
States and territories are required to cover specific groups of people according to federal law including low-income families, qualified pregnant women and children, and people receiving Supplemental Security Income (SSI). States can also choose to cover additional groups, such as people receiving home and community-based services and foster children who don’t qualify through other means. Medicaid agencies are focused on improving their eligibility and enrollment processes so that eligible people can access the health care they need.
Resources
How eligibility may look different in this bridging year
The flurry of Medicaid activity on eligibility is going to continue in the coming year, but it’s going...
Why did they do it that way? Eligibility policy
Check out NAMD's latest issue brief to learn more about Medicaid eligibility policy.
Attempts to scam Medicaid Members popping up nationwide as unwinding commences
State Medicaid leaders address the rise of bad actors seizing to make a quick buck off of Medicaid...
Partnering With Medicaid to Successfully Unwind the Continuous Eligibility Requirements
NAMD Supports Redetermination Certainty in FY 2023 Omnibus Release
Congress’ end-of-year spending package includes critical policy for winding down the Medicaid continuous enrollment requirement.
Congress Must Provide Certainty on Resuming Normal Medicaid Eligibility Rules
Congress acted early in the COVID-19 pandemic to support Medicaid programs and ensure people had access to health...
NAMD Requests Certainty from Congress on Public Health Emergency Unwinding
Today, NAMD sent a letter to Congress requesting certainty around the timing and fiscal resources available to support...