Centers for Medicare & Medicaid Services (CMS) sent a letter to all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands on August 30 regarding disenrollment.  CMS requested states evaluate eligibility system issues that could cause people, especially children, to be disenrolled from Medicaid or the Children’s Health Insurance Program (CHIP) even if they are still eligible for coverage. CMS is also requiring states and territories to immediately act to correct the problem and reinstate coverage.

CMS believes that eligibility systems in a number of states are programmed incorrectly and are conducting automatic renewals at the family-level and not the individual-level, even though individuals in a family may have different eligibility requirements to qualify for Medicaid and CHIP. For example, children often have higher eligibility thresholds than their parents, making them more likely to be eligible for Medicaid or CHIP coverage even if their parents no longer qualify.

Join CKF-IN on October 19, 2023 from 10am - noon ET for the 2023 State of Coverage Policy Summit. Registration is open!

The Centers for Medicare and Medicaid Services (CMS) released the Early 2023 Snapshot Report and Full Year 2022 Effectuated Enrollment and Financial Assistance Data report. Effectuated enrollment is the total number of people who picked a plan AND paid their premium. Nationally there was a 13% increase from February 2022 to February 2023 in consumers with effectuated coverage.

In February of 2023 in Indiana:

KFF updated their Medicaid Enrollment and Unwinding Tracker on August 23^rd. As of July 2023, more than 285,000 Hoosiers have renewed their coverage, almost 176,000 were disenrolled, over 150,000 were disenrolled for procedural reasons. One third of Hoosiers disenrolled were children.

The Indiana Family & Social Services Administration (FSSA) also updated their return to normal website. Updates include the July report to the Centers for Medicare and Medicaid Services (CMS) and a July Dashboard. Also, the recording from the Stakeholder meeting from August was added.

A recent Indiana Health Coverage Programs (IHCP) bulletin announced that when cost-sharing resumes -no earlier than January 1, 2024 - there will be some changes as a result of House Enrolled Act (HEA) 1513 (2023).

Beyond the Basics is hosting their annual fall webinar series in preparation for the 2024 Open Enrollment season. Webinar recordings and slides will be posted after the webinars on the Beyond the Basics website. All webinars are at 2pm ET.

In preparation for the Marketplace Open Enrollment Period starting November 1, 2023 for the 2024 Plan Year, the Centers for Medicare & Medicaid Services (CMS) has updated the Assister Certification Training curriculum. Assisters may take the 2024 Assister Certification Training now.

The training is hosted on the Marketplace Learning Management System (MLMS), which can be accessed through the CMS Enterprise Portal.

New users register here: New User Registration

Existing users can login at: Existing User Registration

All new Assisters (Certified Application Counselors, Navigators, and Enrollment Assistance Personnel (EAPs) will need to verify their identity on the CMS Portal to access Assister Certification training on the MLMS. The Quick Reference Guide: FFM Registration with Assister ID Verification provides an overview of how to register as a new Assister using the Identity Verification process, or login as a returning Assister. If you have taken Annual Assister Certification Training in the past, and already have a CMS Portal account, please DO NOT create another account.

For questions on the MLMS assister training, please submit inquiries to MLMSHelpDesk@cms.hhs.gov

Contact for the following issues:

For questions on password resets and access to MLMS, please submit inquiries to CMS_FEPS@cms.hhs.gov Monday−Friday 9:00 AM−5:30 PM Eastern Time or contact the Marketplace Service Desk at 1-855-267-1515 or 1-855-CMS-1515 Monday−Friday from 8:00 AM-8:00 PM Eastern Time.   

Contact for the following issues:

CACs with general questions about assister certification training should contact CACQuestions@CMS.hhs.gov.

 

When programs are aligned across sectors, they can better serve community members. In the latest season of the Medicaid Leadership Exchange podcast, guests from all corners of the public sector — behavioral health, criminal justice, and housing, among others — sat down to discuss how services can be more impactful and efficient when everyone rows in the same direction.

Listen now:

The Medicaid Leadership Exchange podcast explores priority topics for Medicaid leaders and is developed in partnership by the National Association of Medicaid Directors (NAMD) and the Center for Health Care Strategies (CHCS) through support from the Robert Wood Johnson Foundation.