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 for states so they can improve eligibility and enrollment processes and to provide data and monitoring that 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
- Vytal Solutions
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, Basic Health Program, and 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 has provided 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 the Medicaid continuous enrollment condition. This effort included helping CMS partner with states; collect and report data, including 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 continues to focus on eligibility and enrollment policy, data, and operations.
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