Medicaid

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State Efforts to Integrate Care for Dually Eligible Beneficiaries: 2020 Update

This brief looks at states who operate Medicare-Medicaid integrated care models based on demonstrations under the federal Financial Alignment Initiative (FAI) or through Dual Eligible Special Needs Plans (D-SNPs) that are aligned with Medicaid managed care plans. It explores factors that contributed to state investment and successful program implementation. The brief also provides an overview of opportunities for other states interested in creating or enhancing integrated care programs.

Short URL: http://www.advancingstates.org/node/71952

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Improving Care And Managing Costs For Dual Eligibles

This report presents highlights from a National Governor's Association Roundtable held in December 2018. At the roundtable, state and federal officials, national experts, and industry and consumer experts discussed challenges and opportunities for states to improve care and manage costs for dual eligibles. Based on the conversation at this event, NGA identifies key considerations for governors and their staff.

Short URL: http://www.advancingstates.org/node/71949

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2019 National Preadmission Screening and Resident Review Report

This annual report summarizes states’ self-reported data related to certain quality measures, including the timeliness of the PASRR evaluations and the outcomes for applicants and residents resulting from the evaluations. The report also provides a brief background of PASRR and outlines states' data tracking capabilities.

Short URL: http://www.advancingstates.org/node/71948

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Critical Incident Management: Core Elements to Enhance Your Approach

States operating Medicaid waiver programs, as well as other programs, are required to safeguard consumers against critical incidents such as abuse, neglect, exploitation, and unexplained death. While states have different approaches for managing critical incidents; there are key elements that every state should have to better protect its citizens from harm and to reduce the state from liability. This webinar explores key elements related to an effective critical incident management system.

Short URL: http://www.advancingstates.org/node/71945

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Value-Based Payment for Home and Community-Based Services: Intellectual and Developmental Disability Systems

This brief highlights the efforts of states who implemented Value Based Payment initiatives within systems that support individuals with intellectual or developmental disabilities (I/DD). The brief emphasizes the importance of understanding the population and provides an overview of the population served and their length of engagement with the service system. It looks at the experiences of OH and WA in the Medicaid Innovation Accelerator Partnership program from April 2018 to September 2019.

Short URL: http://www.advancingstates.org/node/71905

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Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers

This report looks at the changes states implemented to their Medicaid or other publicly-funded consumer directed home care programs in order to comply with the 2013 FLSA Home Care Rule. The report includes perspectives from various stakeholders and describes issues raised in interviews. It provides an overview of early implementation efforts, an environmental scan of state policies and procedures, and a case study examination of states with well-documented hardship exceptions.

Short URL: http://www.advancingstates.org/node/71892

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Essentials of Critical Incident Management Webinar

States operating Medicaid waiver programs are required to safeguard consumers against critical incidents such as abuse, neglect, exploitation, and unexplained death. Yet there is no federally defined term for “critical incident.” This webinar explores what constitutes a critical incident, and the steps your agency should take to protect your citizens from harm and your state from liability.

Short URL: http://www.advancingstates.org/node/71841

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NASBO 2019 State Expenditure Report

This updated annual report examines spending in the functional areas of state budgets and includes fiscal 2017-2019 data. The report looks at spending in the areas of elementary and secondary education, higher education, public assistance, Medicaid, corrections, transportation, and all other. It includes state-by-state breakdowns, highlights data on capital expenditures by program area, and reviews revenue sources.

Short URL: http://www.advancingstates.org/node/71836

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The Value of Pursuing Medicare-Medicaid Integration for Medicaid Agencies

This report is the fourth in a series of publications from the MLTSS Institute, which was established in 2016 to drive improvements in key MLTSS policy areas, facilitate sharing and learning among states, and provide direct and intensive technical assistance to states and health plans. This issue brief focuses on delivering effective care to individuals eligible for both Medicare and Medicaid and aims to lay out the case for state Medicaid agencies to invest in integrated care programs.

Short URL: http://www.advancingstates.org/node/71835

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