Temporary Special Enrollment Period (SEP) for Consumers Losing Medicaid or the Children’s Health Insurance Program (CHIP) Coverage Due to Unwinding of the Medicaid Continuous Enrollment Condition– Frequently Asked Questions (FAQ)
...Since the onset of the novel coronavirus disease of 2019 (COVID-19) Public Health Emergency (PHE), state Medicaid agencies have made policy, programmatic, and systems changes to respond effectively to the pandemic. State Medicaid agencies also have made changes to qualify for the temporary Federal Medical Assistance Percentage (FMAP) increase under section 6008 of the Families First Coronavirus Response Act (FFCRA), including satisfying a continuous enrollment condition for most Medicaid beneficiaries who were enrolled in the program as of or after March 18, 2020.1 Similarly, during the COVID-19 PHE, some states have been granted 1115 demonstration authority to provide continuous enrollment for Children’s Health Insurance Program (CHIP) beneficiaries in addition to other flexibilities that have had this effect.
City leaders to join DC Health Link for whirlwind final weekend of Open Enrollment featuring barbershop outreach, pizza delivery outreach, door-to-door canvassing, and enrollment marathon with unique events at barbershops, Ben's Chili Bowl and all over DC
WHAT/WHO:
Because District residents have only four days left to sign up for health insurance coverage before the Open Enrollment deadline, DC Health Link is crisscrossing the city this weekend to make sure every resident in high uninsured areas of the District has the opportunity to enroll in quality, affordable health insurance. DC Health Link is holding its signature Enrollment Marathon and partnering with local businesses, city leaders, and civic groups to offer District residents FREE one-on-one, and virtual, enrollment help over the weekend at different locations throughout the District. These additional enrollment opportunities will help residents get covered before the Open Enrollment Period ends at midnight January 31, 2023.
There's still likely between 40,000 - 80,000 Qualified Health Plan (QHP) enrollments to be added to the 2023 Open Enrollment Period (OEP) tally from the states which have extended deadlines (through Tuesday, January 31st), but I decided to throw this together today for the hell of it.
The table below charts the first ten years of ACA Open Enrollment Periods, broken out by state. I've also included Basic Health Plan (BHP) enrollment in Minnesota & New York, the only states where BHP programs have been implemented to date.
The states which jump out at me the most in terms of enrollment growth, at least visually, are Florida, Georgia, New York (BHPs) and Texas.
No further analysis or comment here; I just think this is a pretty cool graphic.
About a week and a half ago I received the following email (posted w/permission w/identity removed):
Hello Mr Gaba. Last year I had a BCBS insurance through marketplace and this year I switched to a Physicians Health Plan offering, also through the marketplace. I thought I had done due diligence. I was interested in switching to the University of Michigan system. As I shopped for plans the PHP website listed literally hundreds of potential pcp's near me in Ann Arbor. But as I began to try and sign up with a new doctor and called the number listed for each doc (usually the same U-M switchboard number) I found that none of the docs listed were, in fact, accepting new patients.
At the moment I cannot find a new pcp through my new health insurance. Is this legal? Have I any recourse? Where can I find info on what to do? They suggest that I try to get my former doctor to fill out a prior approval or out of network form...Hoping you can direct me to somewhere; thank you for any direction you can offer me.
First-of-its-kind initiative will help people get the behavioral health care they need as they leave incarceration
Today, the U.S. Department of Health and Human Services (HHS), through the Centers for Medicare & Medicaid Services (CMS), approved a first-of-its-kind section 1115 demonstration amendment in California which will provide a set of critical pre-release services and improve access to critically needed care for people returning home from jails and prisons.
For example, Medi-Cal will be able to cover substance-use treatment before a Medicaid beneficiary is released from jail, prison, or youth correctional facility. Additionally, the state will be able to help connect the person to community-based Medicaid providers 90 days prior to their release to ensure they can continue their treatment after they return to the community.
January 11, 2023: CMS marked another important maternal health milestone by approving Medicaid and Children’s Health Insurance Program (CHIP) postpartum coverage expansions in Alabama and a Medicaid postpartum coverage expansion in North Dakota through the American Rescue Plan (ARP). Nationally, more than 439,000 people across 28 states and the District of Columbia now have access to Medicaid and CHIP coverage for a full 12 months following pregnancy — up from just 60 days before the ARP. Postpartum coverage extensions form one of the cornerstones of CMS’ Maternity Care Action Plan — part of the Biden-Harris Administration’s Blueprint for Addressing the Maternal Health Crisis. Click here and here to learn more about Alabama’s approvals, and here to learn more about North Dakota’s approval.
More Than 212,000 Coloradans Signed Up for Health Insurance Coverage During Annual Enrollment Period
DENVER – Connect for Health Colorado (the Marketplace) reports that 201,758 Coloradans enrolled in a health insurance plan during the Open Enrollment Period for 2023 coverage. That is an increase of approximately 3,000 plan enrollments above last year’s total.
Biden-Harris Administration Announces Record-Breaking 16.3 Million People Signed Up for Health Care Coverage in ACA Marketplaces During 2022-2023 Open Enrollment Season
Nearly 50% increase in HealthCare.gov signups since President Biden took office, and 3.6 million people signed up for health care coverage on the Marketplaces for the first time this year
Today, the Biden-Harris Administration announced that a record-breaking more than 16.3 million people have selected an Affordable Care Act (ACA) Marketplace health plan nationwide during the 2023 Marketplace Open Enrollment Period (OEP) that ran from November 1, 2022- January 15, 2023 for most Marketplaces. President Biden promised to strengthen and build on the Affordable Care Act, and this year, the 10th year of ACA Open Enrollment, more Americans signed up for high-quality, affordable health insurance through the ACA Marketplaces than ever before. Since President Biden took office, the number of people who have signed up for an affordable health care plan through HealthCare.gov has increased by nearly 50%. Because of the President’s plan, millions of working families saved an average of $800 on their health insurance premiums last year.
MORE THAN 182,000 ENROLLED FOR 2023 COVERAGE THROUGH MARYLAND HEALTH CONNECTION
Enrollment reached an all-time high in 10th year of state-based marketplace
BALTIMORE (Jan. 24, 2023) – A record number of Marylanders – 182,166 – enrolled in coverage for 2023 through Maryland Health Connection, the state’s health insurance marketplace in its 10th year of operation.
Open enrollment began Nov. 1, 2022, and ended Jan. 15. People who enrolled in January will start coverage Feb. 1.
“We’re very happy to continue to have success in reaching Marylanders in need of affordable health coverage,” said Michele Eberle, executive director of the Maryland Health Benefit Exchange, which runs the state’s health insurance marketplace. Total enrollment has grown five consecutive years and by more than 15 percent since just before Covid-19 and the public health emergency.
LOS ANGELES, Calif. — Covered California hit the streets of downtown Los Angeles on Tuesday, to paint the town and encourage the uninsured to sign up for health insurance coverage. In a partnership with a diverse collaborative of local and California-based artists, Covered California unveiled a large-scale street art piece at the historic Grand Central Market to remind Californians that they have through Jan. 31 to sign up for comprehensive health care coverage.
“We are here to spread the word across Los Angeles and the rest of the state that time is running out to sign up for quality health insurance through Covered California,” said Jessica Altman, executive director of Covered California. “Visit CoveredCA.com today, find out how much financial help you can receive, and how affordable coverage can be for you and your family.”
