Medicaid has played a critical role in helping states and Territories respond to public health crises and natural and human-made disasters such as hurricanes, wildfires, and flooding. To help Medicaid agencies prepare for such disasters in the future, the Centers for Medicare & Medicaid Services (CMS) Coverage Learning Collaborative developed a set of tools on the strategies available to support Medicaid operations and enrollees in times of crisis.
Those tools are:
- A memorandum which provides a high-level summary of the types of Medicaid and CHIP strategies that can be deployed by states and Territories. It is organized by operational area—eligibility and enrollment, benefits and cost sharing and provider workforce—and provides examples of how the strategies were used by other states and Territories. The memorandum also provides a review of the legal authorities that are available to effectuate various strategies, ranging from changes to State Plan Amendments to obtaining an 1135 Waiver. Finally, Appendix A provides a snapshot summary of the strategies, legal authorities and state examples.
- A companion inventory of the various strategies available to states and the action needed to effectuate them. Based on interviews with federal officials and a review of federal statute, regulation and approved 1135 and 1115 demonstrations, the CMS Coverage Learning Collaborative team compiled a detailed list of all available strategies, some of which are available without needing approval from CMS. The inventory provides significantly more detail on available options than the memorandum.
Together, these two tools—the memorandum and inventory—should serve as a comprehensive disaster preparedness resource for states and Territories to have at their fingertips. Both tools are available on Medicaid.gov at https://www.medicaid.gov/
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