Policy Issues

Additional Medicaid Information

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Both Medicaid and Health Centers improve access to care for the nation’s most medically underserved. Medicaid is the largest source of health insurance for low-income and disabled people, while Community, Migrant, Homeless, and Public Housing Health Centers ensure that over 20 million underserved patients have a place for primary and preventive care. Health centers care for 1 out of every 7 Medicaid beneficiaries nationally and Medicaid represents 38% of total revenue – health centers’ largest source of financing and directly proportional to the percent of patients with Medicaid.

For those reasons, health centers depend on adequate Medicaid reimbursement to sustain the care of existing patient populations, and to expand services to meet growing demand. Read more about Health Centers and Medicaid.

Learn more about Medicaid reimbursement for Health Centers

Detailed state-by-state data on Medicaid enrollment and spending - Kaiser State Health Facts

NACHC's Medicaid Expansion Toolkit

Click Here for information on Section 1115 Demonstration Waivers

Click Here for information on Deficit Reduction Act (DRA) Implementation


Children's Health Insurance Program (CHIP)

Status of PPS Implementation in the Children's Health Insurance Program, State Policy Report #42

NACHC Issue Paper - an brief summary of the core CHIPRA provisions and what health centers need to do to prepare for implementation.

CMS State Health Official Letter 4.17.2009 - On Friday April 17, 2009, CMS issued a State Health Official letter further outlining the provisions of CHIPRA.

Families USA CHIPRA Implementation Series - A series of Issue Briefs examining CHIPRA provisions and how they will effect implementation.

Express Lane Eligibility and Beyond: How Automoated Enrollment Can Help Elgible Children Receive Medicaid and CHIP - A report from the National Academy for State Health Policy, The Urban Institute and The Robert Wood Johnson Foundation, April 2009.

CHIP Tips Series - a series issue briefs from the Kaiser Commission on Medicaid and the Uninsured.

Impact of Primary Care Case Management (PCCM) Implementation on Medicaid and SCHIP - a report from the Children's Health Research Initiative. Issue Brief No. 8, March 2009.

KFF Fact Sheet: New Option for States to Provide Federally Funded Medicaid and CHIP Coverage to Additional Immigrant Children and Pregnant Women 

The Commonwealth Fund: Implementation Choices for the Children's Health Insurance Program Reauthorization Act of 2009  September 2009.


Other Issues

VFC Alert - June 2012

VFC Letter from Melinda Wharton - November 2012

VFC Guidance and MOU




12-01-2007   NACHC comments on CMS proposed rule re: Intergovernmental Transfers (77kb)

12-01-2007   Provider Reimbursement Reductions & FQHC/PPS Legislation (365kb)


12-01-2007   Amount, Duration and Scope (62kb)

12-01-2007   Cost-sharing regulations (652kb)

12-01-2007   Families USA guide to presumptive eligibility (1945kb)

12-01-2007   Presumptive Eligibility: Regulations (559kb)

02-01-2007   SCHIP Priorities Letter (31kb)


12-01-2007   Regulations (660kb)

12-01-2007   Summary of Compliance (34kb)


12-01-2005   "State Medicaid Actions 2005" Health Policy Tracking Service Report (1674kb)

05-01-2005   Unkindest Cuts: The Impact of State Medicaid Reductions on Health Centers and Their Patients (1351kb)

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