Resource Format: Report
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Time to Get It Right: State Actions Now Can Preserve Medicaid Coverage When Public Health Emergency Ends
Millions of people could lose health coverage when the COVID-19 public health emergency (PHE) ends, but states can make changes to avoid massive coverage losses.
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Streamlining Medicaid Renewals Through the Ex Parte Process
The Centers for Medicare & Medicaid Services (CMS) should provide detailed guidance and oversight to help states improve automatic Medicaid renewals using available data, through the ex parte process.
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SNAP Waivers and Adaptations During the Covid-19 Pandemic: A Survey of State Agency Perspectives in 2020
SNAP Waivers and Adaptations During the COVID-19 Pandemic: A Survey of State Agency Perspectives in 2020 is a study conducted by the Johns Hopkins Institute for Health and Social Policy (IHSP) based at Johns Hopkins Bloomberg School of Public Health and the American Public Human Services Association (APHSA). This research seeks to understand perspectives from state SNAP administrators on the successes, challenges, and lessons learned from waivers and flexibilities used to preserve equitable access to SNAP during the COVID-19 pandemic. Based on state agency survey responses, this report summarizes key findings from the first calendar year of pandemic response and provides policy considerations for the future of SNAP. This research was supported by Healthy Eating Research, a national program of the Robert Wood Johnson Foundation.
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Executive Summary: SNAP Waivers and Adaptations During the Covid-19 Pandemic: A Survey of State Agency Perspectives in 2020
Based on state agency survey responses, this report summarizes key findings from the first calendar year of pandemic response and provides policy considerations for the future of SNAP.
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Early Insights on SNAP Modernization through American Rescue Plan Investments
This brief shares findings from a November 2021 survey of state SNAP agencies about their use of the SNAP ARPA funds in fiscal year 2021, and their initial planned activities for fiscal year 2022 and 2023.
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Documenting Pandemic EBT for the 2020-21 School Year
The Pandemic Electronic Benefits Transfer (P-EBT) program was launched as an effort to address the loss of access to free and reduced-price school meals due to widespread school closures at the onset of the COVID-19 pandemic. As schools reopened in a shifting mix of fully virtual, hybrid, and inperson formats and families lacked consistent access to school meals, these benefits were extended through the 2020–21 school year and were highly valuable to families in buffering the full extent of food insecurity they may have faced during this uncertain time. However, the complexity of administering this program was a fundamental barrier in providing timely support to families, who ultimately went without benefits for at least half of the school year. In this report, we dive into the challenges state administrators faced in launching this new program during the 2020–21 school year and reflect on considerations for the future.
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Designing Better Programs for Young Parents & Families
This report highlights lessons learned from improving economic stability and well-being outcomes for young parent families, focusing on interagency collaboration, community engagement, data-driven improvement, and aligned services to guide future efforts.
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COVID Response Project: Lessons Learned from State Adaptation and Federal Flexibilities
The COVID Response Project was funded by the W.K. Kellogg Foundation to document the real-time impacts of the COVID-19 pandemic on state human services agencies and capture state perspectives on lessons learned to guide future federal policymaking and state implementation. The project was completed by the American Public Human Services Association (APHSA) in partnership with the U.S. Department of Health and Human Services, Administration for Children and Families (ACF), Office of Regional Operations. Insights from the report reflect information obtained through APHSA’s on-going support of state human services agencies’ COVID-19 response efforts as well as a series of in-depth interviews with executive leadership of the 14 state health and human services agencies in ACF’s Region 1 (New England) and Region 4 (Southeast) areas.
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Coordinating SNAP and Nutrition Supports
Coordinating SNAP and Nutrition Supports (CSNS) is a cohort program funded by Share Our Strength, No Kid Hungry and administered by the American Public Human Services Association (APHSA) with the goal of aligning the Supplemental Nutrition Assistance Program (SNAP) with other federal, state, and local nutrition supports to combat childhood hunger.
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Changes in State TANF Policies in Response to the COVID-19 Pandemic
As the US economy shut down in response to the COVID-19 pandemic, state administrators for Temporary Assistance for Needy Families (TANF)—the nation’s primary program for helping families with low incomes meet basic needs while supporting their transition to economic mobility through work opportunities—faced new challenges operating the program and meeting their clients’ needs. For families previously or newly receiving TANF, the pandemic made it harder to meet the work and activity requirements necessary to continue receiving benefits. Many state TANF administrators and agencies responded to the pandemic and stay-at-home orders by adjusting their policies to meet their states’ and families’ unique situations, needs, and challenges. In this brief, we describe how some of these agencies adapted their policies during the early months of the pandemic.
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Benefits of Interoperability in the Health & Human Services System
The A-87 Exception presents a unique opportunity to transform the health and human services delivery system. It delivers an integrated funding mechanism which allows good business design to apply across a broad range of programs and services. It also provides benefits to states, customers, and federal partners, ranging from cost containment, to improved customer service, enhanced security and privacy, program integrity, and better outcomes for children and families.
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Using Human-Centered Design to Integrate Benefit Applications
This guide illustrates how agencies can use human-centered-design practices to revise and integrate benefits applications.