Medicaid/CHIP

As states’ primary means for extending health care coverage to their most vulnerable residents, Medicaid and the Children’s Health Insurance Program (CHIP) often make up the foundation of state health reform initiatives. These complex programs, governed by overlapping layers of federal and state laws and regulations, can also bring federal financial resources to states.

The staff at the Center for Health Law and Economics at UMass Medical School keeps up-to-date on these constantly-changing rules and understands that every modification has the potential to affect new and existing health care policies and programs. As health lawyers, our team leaders have the necessary experience to analyze and interpret the statutory and regulatory provisions of Medicaid and CHIP — one served as General Counsel for the Massachusetts Medicaid and CHIP programs. We can assess the following for our clients:

  • The impact of new or proposed Medicaid and CHIP rules on public programs or policies
  • Whether new policies or programs are in compliance with Medicaid and CHIP rules
  • The impact of related federal laws on existing Medicaid and CHIP programs

Further flexibility in Medicaid and CHIP is available through State Plan amendments and the federal waiver process. Our long experience conceiving and drafting State Plan amendments and federal waivers has shown us their tremendous potential — and their pitfalls. This experience, along with our deep understanding of the legal and financial aspects of the waiver process, enables us to guide our clients through the process.