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Annual Medicaid Director Budget Survey Highlights State Responses to COVID-19 Challenges

With the COVID-19 pandemic and its impact on Medicaid programs at the forefront, results from the 20th annual 50-state Medicaid Budget Survey for State Fiscal Years 2020 and 2021 were released October 14 along with an issue brief, Medicaid Enrollment & Spending Growth: FY 2019 & 2020, which examines growth and changes in spending and enrollment. The annual report, co-authored by Health Management Associates (HMA) colleagues and the Kaiser Family Foundation (KFF), in collaboration with the National Association of Medicaid Directors, focuses primarily on survey findings related to planned fiscal year 2021 Medicaid policy changes, especially those related to state COVID-19 responses.

Among other findings, the new report reflects the states that are:

  • Planning to continue COVID-19 related emergency enrollment policies after the end of the Public Health Emergency period
  • Planning other non-COVID-19 related eligibility or benefit changes
  • Increasing or decreasing certain provider fee-for-service reimbursement rates
  • Adjusting managed care organization contracts and rates to address pandemic-related costs and utilization changes
  • Addressing social determinates of health and long-term services and supports workforce concerns
  • Adding or expanding telehealth coverage
  • Adopting pharmacy containment strategies

HMA colleagues Kathleen Gifford, Aimee Lashbrook and Sarah Barth co-authored this year’s annual report along with Elizabeth Hinton, Robin Rudowitz, Madeline Guth, and Lina Stolyar from the KFF.

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