Medicaid

image alt text
Photo: John Maniaci, American Family Children’s Hospital, Madison, Wisconsin

Medicaid covers millions of children across the U.S., providing them with the coverage and services they need to become healthy and productive adults. A strong Medicaid program is an important investment for children and the country.




Resources

Letter or Testimony
CHA Issues Statement for the Record on the Lower Health Care Costs Act
June 18, 2019

On June 17, CHA submitted a statement for the record in advance of the Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act.

Analysis or Summary
CHA Comments on Proposed Interoperability, Pediatric HIT and Information Blocking Rules
June 7, 2019

CHA submitted comments in response to CMS and the Office of the National Coordinator for IT proposed rules to implement provisions in the 21st Century Cures Act related to interoperability, electronic health records (EHR) certification, and information blocking.

Letter or Testimony
House Subcommittee Discusses Medicaid DSH Cuts
June 7, 2019

On June 4, the House Energy and Commerce Health Subcommittee held a hearing examining cuts to Medicaid disproportionate share hospital (DSH) payments scheduled to take effect Oct. 1

Analysis or Summary
Feedback needed on Senate HELP committee health care cost package
May 31, 2019

The Senate Health, Education, Labor, and Pensions (HELP) Committee released a discussion draft on health care costs. CHA is requesting feedback from children’s hospitals to inform our comments and has drafted the attached list of questions relating to areas of focus.

Article
Census 2020: What Undercounting of Children Means for Pediatric Hospitals
May 29, 2019

Undercounting children can prevent children’s hospitals from receiving proper Medicaid funding and support for families.

Analysis or Summary
FY 2020 Medicare IPPS Proposed Rule Summary
May 23, 2019

On April 23, the Centers for Medicare & Medicaid Services (CMS) released its FY 2020 Medicare Hospital Inpatient Prospective Payment System (IPPS) proposed rule.

Press Release
Children’s Hospitals Support Bipartisan Congressional Action to Delay Cuts to Supplemental Medicaid Payments
May 14, 2019

Children's hospitals commend House leaders for their support in delaying harmful DSH cuts.

Article
How 2020 Census Data Affects Children's Health Care
April 26, 2019

The U.S. census provides data to determine funding for state and local programs that support the health and well-being of children—and helps children’s hospitals better understand and care for the populations they serve. But young kids have been undercounted in the census for decades. With the 2020 Census around the corner, here’s a look at why an accurate count of kids across the country matters.

Analysis or Summary
Implications for Children of TX ACA Court Ruling
March 28, 2019

The Texas Federal District Court issued a ruling that the ACA's individual mandate and the entire law unconstitutional.

Letter or Testimony
Allied Groups Letter to CMS on Mental Health and Substance Use Care in Schools
February 27, 2019

CHA joined 46 allied organizations in sending a letter to the Centers for Medicare and Medicaid Services (CMS), spearheaded by Mental Health America, that details opportunities to leverage the Medicaid program to address mental health and substance use in a school setting.

Analysis or Summary
HHS Proposes Revisions to Anti-Kickback Statute Safe Harbor to Eliminate Drug Rebates for PBM’s
February 21, 2019

The Department of Health and Human Services (HHS) published a proposed rule in the Federal Register that would eliminate from safe harbor protection under the Anti-Kickback Statute rebates on prescription drugs.

Issue Brief
Medicaid DSH Payments Are Critical to Children's Hospitals
February 21, 2019

Medicaid DSH payments are critical to children’s hospitals and their ability to provide health care to all children, regardless of income.

Analysis or Summary
Administrative Actions Chart
February 21, 2019

An overview of federal regulations and other administrative guidance of interest to children's hospitals.

Issue Brief
Section 1332 State Innovation Waiver Guidance
February 14, 2019

Section 1332 of the Affordable Care Act (ACA) allows states to seek a waiver of key coverage provisions in the law and to experiment with different health coverage models.

Issue Brief
Kids Rely on Medicaid
February 14, 2019

Medicaid helps our kids lead better lives and was designed with kids in mind.

Talking Points
Delay the Medicaid DSH Cuts
February 4, 2019

Children's hospitals ask Congress to delay the Medicaid DSH cuts that became effective Oct. 1, 2019.

Analysis or Summary
2018 State Child Health Policy Trends
February 1, 2019

The complete analysis of the state child health policy trends identified through these calls is available in this new CHA report.

Article
Commentary: Preserve and Improve Medicaid for All Children
February 1, 2019

Children's hospitals must work to continue to protect this essential health care program.

Analysis or Summary
Key Section 1115 Medicaid Waivers
January 29, 2019

State-by-state summaries of waivers for statuatory Medicaid requirements as allowed by Section 1115 of the Social Security Act and approval of the Secretary of HHS.

Analysis or Summary
2019 Medicare Physician Fee Schedule Proposed Rule
January 23, 2019

We have provided a summary that highlights parts of the 2019 Medicare Physician Fee Schedule Proposed rule with potential implications for children’s hospitals.

Report
Sharing Data, Saving Lives: The Hospital Agenda for Interoperability
January 22, 2019

The Children’s Hospital Association joined with other leading hospital associations to release a report that sets forth a national agenda for improving interoperability among health information technology (IT) systems.

Analysis or Summary
Medicaid Managed Care Proposed Rule
January 15, 2019

CMS released a proposed rule that makes changes to the 2016 Medicaid managed care final rule.

Analysis or Summary
Medicaid DSH Third Party Payment Policy
January 9, 2019

CHA developed a summary of the final rule.

Analysis or Summary
State Medicaid Director Letter on Innovative Service Delivery Systems for Adults With SMI and Children With SED
December 19, 2018

CHA summary regarding a State Medicaid Director Letter that outlines opportunities to design innovative service delivery systems for adults with a serious mental illness (SMI) and children with a serious emotional disturbance (SED).

Contacts

Upcoming Events

Policy Update Calls

Members receive the latest updates and suggest ways to best influence policy issues that impact children's health and children's hospitals in a weekly conference call.