In a historic effort to improve access to health care for millions of Americans, the
“Medicaid and CHIP provide essential health care to millions of families across the country, and we make it easier to enroll children and others in health insurance and maintain coverage,” the secretary said. of the HHS.
“CMS is taking action today to protect and strengthen health care coverage for the more than 88 million people enrolled in Medicaid, CHIP and the Basic Health Program,” the CMS Administrator said.
This rule, if finalized, would standardize common sense eligibility and enrollment policies, such as limiting renewals to once every 12 months, giving applicants 30 days to respond to requests for information, requiring pre-populated renewal forms, and establishing clear and consistent renewal processes across all states.
Medicaid and CHIP are essential sources of health insurance for families across the country. Medicaid is the largest health coverage program in the world.
In a major program transformation and historic victory for American families, the
The NPRM proposes simplifications that would increase the enrollment and retention of people aged 65 and over, as well as those who are blind or disabled. The proposed rule, if finalized, would streamline the application process for these programs by removing unnecessary administrative hurdles for people who do not have — but are eligible for — Medicaid, CHIP or BHP coverage. These people are often eligible for Medicaid but are not yet enrolled or have difficulty staying enrolled due to systemic barriers, potentially missing coverage and life-saving care through cumbersome processes.
The proposed rule also includes policies that would improve access to programs that help make health coverage more affordable for seniors and people with disabilities. It offers ways to simplify enrollment in Medicare savings programs, which allow Medicaid to pay Medicare premiums or share costs for low-income Medicare beneficiaries. The proposed rule would also allow automatic enrollment in Medicare savings programs for certain people receiving the
A recent study estimated that only about half of eligible low-income people enrolled in Medicare were also enrolled in Medicare savings programs. This proposed rule would automatically consider seniors for enrollment in Medicare savings programs when applying for low-income subsidies to help pay for Medicare Part D coverage, reducing time and expense charges. eliminating the need to complete multiple applications.
Finally, proper documentation is essential to enable proper oversight, identify errors in state policies and operations, and reduce inconsistent and outdated practices among states that contribute to improper payments. This proposed rule would update and standardize record-keeping requirements for states, which would help close the gaps in outdated state record-keeping systems and improve program integrity.
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Original text here: https://www.cms.gov/newsroom/press-releases/biden-harris-administration-proposes-make-health-care-enrollment-easier-millions-americans