Maine

The Centers for Medicare & Medicaid Services (CMS) recently released its third annual evaluation of the State Innovation Model (SIM) Round One Test States, which analyzes the ability of states to use policy and regulatory levers to drive statewide health care transformation. The evaluation, completed by a team of researchers from RTI International, the Urban […]

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  • The following information is paired with our blog, Emerging Themes in Proposed State Medicaid Waivers. Key Pending Waiver Requests for ACA Medicaid Expansion Eligibility Groups Seeking to add work requirements as a condition of eligibility: Arizona (20 hours/week for school/job training; unspecified for employment or job search) Arkansas (80 hours/month) Indiana (Average of 20 hours/week) Kentucky […]

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  • State Health Policy Blog

    The urgency to stabilize the individual markets is palpable in the states. Insurers will begin filing preliminary rates for 2018 next month and are developing those rates in a period of uncertainty. Will cost sharing reductions continue? Will there be some help to stabilize the market, calm jittery insurers and assure that consumers in every […]

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  • State Health Policy Blog

    States have made great strides in improving children’s oral health, this includes a greater number accessing the dentist and a decline in untreated caries—tooth decay. Medicaid and the Children’s Health Insurance Programs (CHIP), which insure our nation’s most vulnerable populations, have played an important role by covering dental benefits for children. Some Medicaid agencies opted […]

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  • Policymakers in Congress are considering the role of the Children’s Health Insurance Program (CHIP) in the context of health coverage options available under the Affordable Care Act (ACA). Federal funding for CHIP is due to end in September, 2015 without Congressional action. To help inform these federal legislative discussions, the leadership of the House Committee […]

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  • This chart highlights marketplace policy decisions related to pediatric dental coverage for the 2014 plan year.  It tracks the kinds of pediatric dental products that marketplaces solicited and offered on the marketplace in 2014, particularly whether dental benefits were offered through stand-alone dental products (SADP), as “bundled” products that paired a specific SADP and a qualified […]

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  • As we noted in a previous analysis, the State Innovation Model (SIM) Testing Awards that HHS awarded to six states (Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont) were to support states’ work on multi-payer payment and delivery system reform. Strategies to improve the population’s health were a critical aspect of the SIM awards. The SIM […]

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    June 3, 2016 | Filed under: Arkansas, Charts, Maine, Massachusetts, Minnesota, Oregon, South Carolina
  • For 2014 legislative activity and other Medicaid expansion updates, see State Refor(u)m’s Medicaid expansion map. At State Refor(u)m, we are continuing to track state Medicaid expansion activities. This revised chart includes additional details on key elements of Medicaid expansion bills that have been introduced in state legislatures, such as proposals to provide coverage to the […]

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  • When open enrollment begins on October 1, consumers will be able to select and purchase health coverage online through a state-based exchange or the federal marketplace. This chart provides useful links to the web portals, where consumers can purchase coverage, as well as links to relevant agency websites containing exchange policy and consumer assistance-related information. […]

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  • Due to the ACA’s new eligibility verification rules, states have developed plans outlining Medicaid and CHIP eligibility verification procedures. This chart highlights key elements from states’ verification plans, such as which eligibility factors are verified through electronic data and the specific data sources states are using, as well as whether self-attestation is accepted for some eligibility […]

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