Project Overview

Objective

To help CMCS quickly develop high-priority policy and operational information and disseminate it to states, to develop technical assistance tools and resources for states, and to provide data and monitoring to support CMCS and state operations.

Project Motivation

CMCS needed a partner experienced in eligibility, systems, and data analytics to support its work with states to advance high performing Medicaid and Children’s Health Insurance Programs.

Partners in Progress

    • Booz Allen Hamilton
    • LeCor Technology Services
    • InnovTech, Inc.
    • Manatt Health

Prepared For

U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services, Center for Medicaid and CHIP Services

Since 2011, Mathematica has helped CMCS respond to federal and state policy, implementation, and operational needs related to coverage. We have developed collaborative, analytical, and innovative solutions.

Mathematica has created products for states that directly support policy implementation on a variety of topics, such as eligibility and enrollment, justice-involved populations, continuity of coverage for youth formerly in foster care, postpartum coverage, and systems and analysis. Our recent work includes developing resources on (1) preventing inappropriate terminations in Medicaid during and beyond the COVID-19 PHE, (2) creating a disaster preparedness toolkit for state Medicaid and CHIP agencies with state strategies, legislative requirements, and additional state flexibilities, (3) providing step-by-step advice for identifying, assessing, prioritizing, and addressing program integrity risks associated with unwinding PHE provisions, (4) using data from the Transformed Medicaid Statistical Information System and Medicaid and CHIP Performance Indicators to monitor the health of states’ information technology systems, and (5) helping states better understand operational considerations for implementing a section 1115 reentry demonstration to support community reentry and improve care transitions for justice-involved populations. To support CMCS operations, Mathematica analyzes data on timely topics of interest, including the monthly Medicaid and CHIP Enrollment Trend Snapshot. On behalf of CMCS, Mathematica has hosted numerous webinars to share learning across states and to provide technical assistance on the tools and guidance developed. This project has been a valuable forum for identifying states’ needs for developing and clarifying policy and has encouraged peer-to-peer learning between states about promising practices.

Mathematica is also helping CMCS work with states during the unwinding of the Medicaid continuous enrollment condition. This work includes coordination support; supporting the development and delivery of state technical assistance; implementing a monitoring strategy; and creating advanced analytic tools to support monitoring, evaluation, and learning, as well as program operations. Mathematica has also helped CMCS develop new state reporting requirements and created a data visualization dashboard where CMCS can monitor states’ progress with unwinding. As part of this support, Mathematica also manages two help desks to triage and respond to states’ issues and questions.

Related Staff

Sheila Hoag

Sheila Hoag

Senior Director, Business Development

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Jessica Heeringa

Jessica Heeringa

Principal Researcher

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Julia Baller

Julia Baller

Director, Advisory Services

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Lyndsey Cavender

Lyndsey Cavender

Researcher

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Jenn Guillen

Jenn Guillen

Director, Delivery Management

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John Schmitt

John Schmitt

Senior Director, Business Development

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