09/19/2024 | Press release | Archived content
States and Plans reported that two systemic issues-unmet health-related social needs and provider shortages-impact enrollees' abilities to maintain their care and limit States' and Plans' abilities to address resulting gaps in care.
States and Plans reported that two operational challenges-limited access to data and insufficient administrative staff-impact States' and Plans' efforts to monitor enrollees' care needs and take action to connect enrollees to care.
While the identified challenges include systemic issues that no Federal agency can solve alone, CMS has opportunities to further support State and Plan efforts to ensure that Medicaid enrollees with HIV receive needed care-thereby improving health outcomes and preventing new HIV transmissions. OIG recommends that CMS:
CMS concurred with these two recommendations.
This report may be subject to section 5274 of the National Defense Authorization Act Fiscal Year 2023, 117 Pub. L. 263.