April 8, 2024

 
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Policy Corner

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Policy Corner

Medicaid & CHIP Coverage Protections

As of March 26, 2024, at least 3,396,000 children have lost Medicaid coverage since the unwinding of the COVID-era Medicaid continuous enrollment provision, though the number may be as high as 4.61 million. Many of the disenrollments, especially among children, were a result of system issues and not a loss of eligibility. The unwinding process has highlighted how simplifying and streamlining renewals may dramatically help eligible people stay covered.

On March 27, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule to standardize and improve the enrollment and renewal process to ensure Medicaid and CHIP enrollees can retain coverage. The regulations include eliminating annual and lifetime limits on children's coverage, ending the practice of locking children out of coverage if a family is unable to pay premiums, and eliminating waiting periods.


The regulation will work alongside the federal 12-month continuous eligibility expansion for all children covered by Medicaid and CHIP, effective January 1, 2024. In January 2023, 28 states had partial or no 12-month continuous eligibility policies; this new report estimates that 17 million children in these states could benefit from this policy. However, to be effective, states need to ensure that eligible children are successfully enrolled in Medicaid or CHIP.


CMS is extending the temporary special enrollment period from July 31 to November 30, 2024 to help people no longer eligible for Medicaid or CHIP transition to Marketplace coverage in states using HealthCare.gov.


To learn more about how to ensure children are adequately covered by Medicaid and CHIP, contact innovationsinstitute@uconn.edu.


Resources:

News Feed

HUD Report on Housing & Human Trafficking


Last month the US Department of Housing and Urban Development released a report assessing the availability and accessibility of housing and services for individuals experiencing homelessness or housing instability who are survivors of human trafficking or at risk of being trafficked.

SAMHSA Funding Opportunity


Cooperative Agreements for the Garrett Lee Smith State/Tribal Youth Suicide Prevention and Early Intervention Program will support states and Tribes with implementing youth suicide prevention and early intervention in schools, educational institutions, juvenile justice and foster care systems, substance use and mental health programs, pediatric health programs, and other child- and youth-serving organizations. Applications are due Monday, June 3, 2024.

Community Corner*

Finding Healing through Horses

Surrounded by prairie grasses, a half-dozen tribal youth clasped hands at the Forward Stride ranch on a muggy morning last summer as part of their recovery from harmful experiences with drugs, alcohol, and incarceration. Twice a week, 82-year-old John Doug Spence, a member of the Gros Ventre tribe and a longtime social worker, guides youth to his Indigenous-centered equine therapy to experience the "healing power of horses." Forward Stride Horse-Centered Activities and Therapies serves Indigenous children and teens in foster care, the juvenile justice system, or in recovery from substance or alcohol dependency through a method closely aligned with their culture and traditional practices. The sessions are among a growing number of equine treatment programs in the area, part of what Spence described as “a movement towards Indigenizing therapy options” for struggling youth on reservations and in foster care. Horses provide a way for indigenous youth to strengthen kinship bonds between animals, their people, and the land they’ve shared, as well to soothe hardships in their lives. Caring for horses also promotes healthy habits and positive relationship skills. “Horses were and still are healing for me, and I’m energized by the way I’m seeing it’s healing for these kids,” remarked Spence.

 

*Community Corner features innovative work that transforms child-, youth-, and family-serving systems and services. Send us information about your program or project to be highlighted here by emailing us at TAtelegram@uconn.edu.

Trainings & Events

Subscribe to Training Institutes email updates and get details for early registration and the call for presentations. Don't forget to save the dates.

Innovations CoE Webinar


Join our Center of Excellence on LGBTQ+ Behavioral Health Equity for a session highlighting the harms that come from prohibiting access to gender affirming care for transgender youth.


Ethical Practice with Transgender Youth & Families in the Context of Bans on Gender Affirming Care in the U.S.

Register with CECs

Register without CECs

Tuesday, April 9

1:00 – 2:30 PM ET

National Wraparound Initiative Webinar


Join the National Wraparound Initiative for a panel discussion describing successful statewide evaluation efforts to ensure quality and guide decision-making.


Keeping Wrap on Track: A Panel of Large-Scale Wraparound Evaluation Efforts

Tuesday, April 16

3:00 – 4:30 PM ET

UW SMART Center's Virtual Speaker Series


Participants will learn the types of bullying, strategies to disrupt bullying in schools, and how to leverage safety personnel in bullying prevention efforts.


Bullying Prevention in Elementary and Middle Schools: Leveraging Experts in Your Building

Wednesday, April 17

2:00 – 3:15 PM ET

SAMHSA-Sponsored Learning Series


The National Federation of Families, with support from NASMHPD, is working with NDRN, ASTHO, and NAMI to deliver a series of SAMHSA-sponsored webinars, Equity in Mental Health and Substance Use Support.


Overcoming Challenges to Access for Families

Tuesday, April 23

1:30 – 3:00 PM ET

Upcoming Special Webinar Series


This series from the National Family Support Technical Assistance Center will explore equitable terminology that promotes social justice for populations where language has often been used to shame individuals, patronize, enforce prejudice, or limit visibility. Each session will provide updated language that helps advance equity within their population of focus.


Words Matter Wednesday: Promoting Equity for LGBTQ+ Populations Through Language

Every Wednesday in May

3:00 – 4:00 PM ET

Resources

Trevor Project Brief on Sexual Violence


A new Research Brief from the Trevor Project shows that LGBTQ+ young people face sexual violence at higher rates than the general population. The data reveals that sexual violence is also associated with a significantly higher suicide risk among LGBTQ+ young people.

Lack of Access to Behavioral Health Care


The HHS Office of Inspector General released a report which highlighted the lack of behavioral health providers for Medicare and Medicaid enrollees. A Lack of Behavioral Health Providers in Medicare and Medicaid Impedes Enrollees' Access to Care discusses the provider shortage and offers recommendations to the Centers for Medicare & Medicaid Services.

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