Projects
Learning Collaboratives to Support the Development of High-Performing State Health Coverage Programs
2011 – Present
Project Overview
Objective
To help the Center for Medicaid and CHIP Services (CMCS) develop technical assistance tools and resources that can aid states' efforts to improve eligibility and enrollment processes, 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 Medicaid and Children’s Health Insurance Program (CHIP) policies and operations.
Partners in Progress
- 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 the Centers for Medicare & Medicaid Services (CMS) respond to federal and state policy, implementation, and operational needs related to eligibility and enrollment for Medicaid, CHIP, the Basic Health Program, and health insurance marketplaces.
In partnership with CMS, we have developed analytic and innovative solutions and provided technical assistance to states in the form of webinars, resources, and tools. This project provides insights into states’ technical assistance needs to support policy implementation and has fostered peer-to-peer learning among states about promising practices.
As part of this project, Mathematica helped CMS prepare for and lead the unwinding of Medicaid continuous enrollment. This effort included helping CMS partner with states, collect and report data such as the Eligibility Processing data set (formerly known as the Unwinding Data Report or State Renewal Report), monitor state operations, and provide technical assistance. In the post-unwinding period, the project maintains a focus on eligibility and enrollment policy, data, and operations.
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