Medicaid, Marketplace, & Social Security Updates

CMS announced it is cracking down on rogue health insurance agents and brokers. The announcement comes after increasing fraud concerns, namely, a consumer being enrolled in or having a plan switched without their knowledge or consent. We explain.

On June 3, Wisconsin’s DHS issued an Operations Memo detailing the upcoming changes to the Medicaid Purchase Plan (MAPP), specifically the policies impacting premiums. MAPP premiums will be returning for some in August 2024 using a new calculation. We explain.

On July 1, Wisconsin's DHS issued an Operations Memo announcing public benefit eligibility updates for certain Ukrainians. The announcement followed a change in Federal law that allowed certain people arriving from Ukraine to be treated like "refugees" for purposes of BadgerCare, Medicaid, & FoodShare. We explain.

Under a new final rule that took effect on June 22, 2024, the Social Security Administration changed how it considered "past work" for purposes of disability benefit eligibility. Recall, to be considered for disability benefits through SSI or SSDI individuals had to submit detailed information about 15 years of their work history. The agency has changed that. We explain.

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