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Medicaid Monitor
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Federal Policy·June 18, 2024

State Health Associations Urge Congress to Fully Fund Territory Medicaid and CHIP Programs

The Association of State and Territorial Health Officials (ASTHO) and the National Association of Medicaid Directors (NAMD) jointly called on Congress to provide full federal funding for Medicaid and CHIP programs in U.S. territories. Unlike states, territories receive capped federal Medicaid funding rather than open-ended matching funds, creating coverage gaps and program instability. The organizations advocate for parity in federal funding treatment between states and territories. This call comes as territories face recurring funding cliffs that threaten coverage for vulnerable populations.

Why it matters for managed care

Territory Medicaid funding constraints affect managed care organizations operating in Puerto Rico, the U.S. Virgin Islands, Guam, American Samoa, and the Northern Mariana Islands, where federal funding caps create program uncertainty and potential coverage disruptions that impact capitation rates and enrollment stability.

Managed Care · Finance · CHIP

Read the full article at medicaiddirectors.org

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