Section 5112 Requirement for all States to Provide Continuous Eligibility to Children in Medicaid and CHIP under the Consolidated Appropriations Act, 2023
This letter provides background on the importance of CE in preventing interruptions that impede
access to health coverage to support better short- and long-term health outcomes,2
and describes
policies related to implementing CE under the CAA, 2023 amendments. We also discuss the
differences between the CE requirements that exist today and those specified in the CAA. This
letter also clarifies which states will need to submit Medicaid and CHIP state plan amendments
(SPA) and reminds states that section 1115 demonstration authority may also serve as a
mechanism to extend the CE period for children beyond 12 months and/or to apply CE to adults.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: September 29, 2023
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