States Respond to COVID-19 Challenges but Also Take Advantage of New Opportunities to Address Long-Standing Issues: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2021 and 2022   [open pdf - 0B]

From the Executive Summary: "The coronavirus pandemic has generated both a public health crisis and an economic crisis, with major implications for Medicaid--a countercyclical program--and its beneficiaries. The pandemic has profoundly affected Medicaid program spending, enrollment, [hyperlink] and policy, challenging state Medicaid agencies, providers, and enrollees in a variety of ways. As states continue to respond to pandemic challenges, they are also pushing forward non-emergency initiatives as well as preparing for the unwinding of the public health emergency (PHE) and the return to a new normal of operations. [...] This report highlights certain policies in place in state Medicaid programs in state fiscal year (FY) 2021 and policy changes implemented or planned for FY 2022, which began on July 1, 2021 for most states; we also highlight state experiences with policies adopted in response to the COVID-19 [coronavirus disease 2019] pandemic. The findings are drawn from the 21st annual budget survey of Medicaid officials in all 50 states and the District of Columbia conducted by the Kaiser Family Foundation (KFF) and Health Management Associates (HMA), in collaboration with the National Association of Medicaid Directors (NAMD). States completed this survey in mid-summer of 2021, following increased vaccination rates and declining COVID-19 cases but just prior to a new wave of COVID-19 infections, hospitalizations, and deaths driven by the highly contagious Delta variant. Overall, 47 states responded to this year's survey, although response rates for specific questions varied. This report summarizes key findings across five sections: delivery systems, benefits and telehealth, social determinants of health (which also includes information on health equity and COVID-19 vaccine uptake), provider rates and taxes, and pharmacy."

Henry J. Kaiser Family Foundation; National Association of Medicaid Directors
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Henry J. Kaiser Family Foundation: https://www.kff.org/
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