Medicaid and CHIP:On the Road to Reform                                    Cindy Mann, JD                              !"#...
Our Mission!! !"#$2.-0$)3$>&$2$-2?31$5314&$2/,$2$   )1(0)@31)A*$21)/&1$531$)A&$43/</(2B$   .-13:&-&/)$35$A&2B)A$2/,$A&2B)A...
Implementing the A ordable Care Act!!F31C./D$@.)A$#)2)&0$GH3:I0$3J4&06$"&,.42.,6$!7896$  8/0(12/4&$!3--.00.3/&10K$!!!331,....
A System of Coverage
New Paradigm!! Q3)$2$R025&)*$/&)S$>()$2$5(BB$21)/&1$./$   200(1./D$43:&12D&$531$2BB$!! TB.D.>B&$U$&/13BB&,$!! V2@$43/)&-B2...
;$!!-*!&.(-%&/0123($*B!&/-:$(+,$&CD-(#!E&              F5))$!!&1!&-!!1G2$&!!"2YT/13BB$                   $()$*#+,$&-.&/012...
C*31*,&(-)$35(+2&H$(%1*+I-*!$    [$]$
Minimum Eligibility Levels               Now and 2014     -J52+I-*&                 /5(($*#&K1*1%5%&                      ...
2014 Health Insurance Subsidies400%FPL235%   CY)0+*,$&F5G!131$!&FPL                                            Varies     ...
Keys to Enrollment!! #&2-B&00/&00$@.)A$)A&$TY4A2/D&6$@A.B&$13-3</D$   -2/*$,3310$)3$43:&12D&$./4B(,./D$@.)A$)1(0)&,$   43-...
Modernizing Medicaid IT Systems&&   Three Foundational ElementsCMS/OCIIO – IT Guidance        OCIIO: FOA – 5 State  Eligib...
Coverage: Pathway to Better Care, Better    Health, Lower Per Capital Costs                      -J52+I-*&                ...
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Medicaid and CHIP: On the Road to Reform

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Cindy Mann, CMS Deputy Administrator discusses the mission of the programs as trustworthy partner for the continual improvement of health and health care for all Americans.

She uses examples of existing programs including Maximizing Enrollment and current implementation strategies happening around the country.

Published in: Health & Medicine
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Medicaid and CHIP: On the Road to Reform

  1. 1. Medicaid and CHIP:On the Road to Reform Cindy Mann, JD !"#$%&()*$+,-./.0)12)31 $ %.1&4)31 $ !&/)&1$531$"&,.42.,6$!789$2/,$#(1:&*$;$!&1<=42<3/ $ !&/)&10$531$"&,.421&$;$"&,.42.,$#&1:.4&0 $
  2. 2. Our Mission!! !"#$2.-0$)3$>&$2$-2?31$5314&$2/,$2$ )1(0)@31)A*$21)/&1$531$)A&$43/</(2B$ .-13:&-&/)$35$A&2B)A$2/,$A&2B)A$421&$ 531$2BB$+-&1.42/0$!! !"!#$4211.&0$)A.0$-.00.3/$531@21,$@.)A$2$ 21<4(B21$&-A20.0$3/$-2C./D$"&,.42.,$ 2/,$!789$)A&$>&0)$13D12-0$)A&*$42/$>&$!! E&/&=4.21.&0$21&$3(1$534(0$!! 921)/&10A.0$21&$41.<42B$)3$0(44&00$
  3. 3. Implementing the A ordable Care Act!!F31C./D$@.)A$#)2)&0$GH3:I0$3J4&06$"&,.42.,6$!7896$ 8/0(12/4&$!3--.00.3/&10K$!!!331,./2</D$@.)A$L!88L$2/,$3)A&1$M&,&12B$+D&/4.&0N %&21)-&/)0$!!#A21./D$.,&20$2>3()$@A2)$1&531-$-&2/0$@.)A$2$>132,$ 2112*$35$0)2C&A3B,&10$!!913-(BD2</D$1&D(B2<3/0$2/,$D(.,2/4&O$13:.,./D$ )&4A/.42B$200.0)2/4&$ P$
  4. 4. A System of Coverage
  5. 5. New Paradigm!! Q3)$2$R025&)*$/&)S$>()$2$5(BB$21)/&1$./$ 200(1./D$43:&12D&$531$2BB$!! TB.D.>B&$U$&/13BB&,$!! V2@$43/)&-B2)&0$2$!"!#$%&-2,&$($35$ ,.W&1&/)$43-3/&/)0$)3$24A.&:&$ 0&2-B&00$43:&12D&6$X(2B.)*$2/,$430)$ 43/)2./-&/)$3>?&4<:&0$
  6. 6. ;$!!-*!&.(-%&/0123($*B!&/-:$(+,$&CD-(#!E& F5))$!!&1!&-!!1G2$&!!"2YT/13BB$ $()$*#+,$&-.&/0123($*&41#0-5#&6$+2#0& & 7*!5(+*)$8&9"&-:$(#"&;$:$28&<==>?@AA=& Children below 200% of poverty 23%!!M./.0A$V./&$913?&4)$ 16% 12% Children above 6% 5% 200% of poverty 5%!!!3:&1./D$Z.,0$2/,$ M2-.B.&0$
  7. 7. C*31*,&(-)$35(+2&H$(%1*+I-*!$ [$]$
  8. 8. Minimum Eligibility Levels Now and 2014 -J52+I-*& /5(($*#&K1*1%5%& @A<N&K1*1%5%& C21,1G121#"&;$:$2!& C21,1G121#"&;$:$2!&& L+:$(+,$M& /0123($*& <AAOP<QQO& @QRO& L@QROM& +($*#!& N@O& <QQO& LSNOM&T1!+G2$3&U352#!& VNO& <QQO& LFF7?($2+#$3M& W#0$(&U352#!& AOX& <QQO&* 5 States provide Medicaid or Medicaid look-alike coverage to certain childless adults; 15 Statesprovide a limited benefit package to certain childless adults.
  9. 9. 2014 Health Insurance Subsidies400%FPL235% CY)0+*,$&F5G!131$!&FPL Varies by State K$31)+13P/67&133% FPL /0123($*& K$31)+13&U352#!& 0 Adults Children
  10. 10. Keys to Enrollment!! #&2-B&00/&00$@.)A$)A&$TY4A2/D&6$@A.B&$13-3</D$ -2/*$,3310$)3$43:&12D&$./4B(,./D$@.)A$)1(0)&,$ 43--(/.)*$21)/&10$!! “^A&$A.DA&0)$B&:&B$35$G4(0)3-&1K$0&1:.4&$2/,$0(31)S$$ !! "2C&$.)$0.-B&_$ !! "3,.=&,$+,?(0)&,$H1300$8/43-&$G"+H8K$ !! %2)2`,1.:&/$T/13BB-&/)$2/,$a&/&@2B$!! "3,&1/6$/.->B&$0*0)&-0$
  11. 11. Modernizing Medicaid IT Systems&& Three Foundational ElementsCMS/OCIIO – IT Guidance OCIIO: FOA – 5 State Eligibility Systems Exchange Prototypes CFR dera l of Fe Code lations Regu
  12. 12. Coverage: Pathway to Better Care, Better Health, Lower Per Capital Costs -J52+I-*& 6$+2#0& CYJ$(1$*)$& !"#$%&()&$ W.&/+($& /-!#&
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