Medicaid has played a critical role in helping states and Territories
respond to public health crises and natural and human-made disasters such
as hurricanes, wildfires, and flooding. To help Medicaid agencies prepare
for such disasters in the future, the Centers for Medicare & Medicaid
Services (CMS) Coverage Learning Collaborative developed a set of tools on
the strategies available to support Medicaid operations and enrollees in
times of crisis.
Those tools are:
- A memorandum which
provides a high-level summary of the types of Medicaid and CHIP
strategies that can be deployed by states and Territories. It is
organized by operational area—eligibility and enrollment, benefits and
cost sharing and provider workforce—and provides examples of how the
strategies were used by other states and Territories. The memorandum
also provides a review of the legal authorities that are available to
effectuate various strategies, ranging from changes to State Plan
Amendments to obtaining an 1135 Waiver. Finally, Appendix A provides a
snapshot summary of the strategies, legal authorities and state
examples.
- A companion
inventory of the various strategies available to states and the action
needed to effectuate them. Based on interviews with federal officials
and a review of federal statute, regulation and approved 1135 and 1115
demonstrations, the CMS Coverage Learning Collaborative team compiled
a detailed list of all available strategies, some of which are
available without needing approval from CMS. The inventory provides
significantly more detail on available options than the memorandum.
Together, these two tools—the memorandum and inventory—should serve as a
comprehensive disaster preparedness resource for states and Territories to
have at their fingertips. Both tools are available on Medicaid.gov at https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/index.html
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