Medicaid

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Compendium of Medicaid Home- and Community-Based Services Waiver Waiting List Administration

This compendium includes select information on waiver capacity and waiting list management. The compendium highlights over 200 approved Section 1915(c) and Section 1115 waivers across all 50 states and DC. As an accompaniment to this compendium, MACPAC has also released an issue brief. This issue brief includes a description of the waiver analysis conducted in the compendium. It also features information from stakeholder interviews.

Short URL: http://www.advancingstates.org/node/72122

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State Guide to Identifying Aligned Enrollees: How to Find Medicare Plan Enrollment for Dually Eligible Individuals in Medicaid Managed Care Plans

This technical assistance tool outlines how states can identify aligned and unaligned enrollees within their dually eligible populations. The first option described in this guide is accessing matching CMS data on Medicare enrollment with state data on Medicaid enrollment. The second option reviewed is collecting aligned enrollment data ddirectly from D-SNPs. This guide includes additional resources states can use to collect more information on identifying Medicare plan enrollment for duals.

Short URL: http://www.advancingstates.org/node/72114

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Using Medicare Modernization Act (MMA) Files to Identify Dually Eligible Individuals

This technical assistance tool explains how states can identify Medicaid enrollees who are dually eligible and those who are prospective dual eligibles. The guide outlines how states exchange files with CMS through the Medicare Modernization Act (MMA) file exchange process to identify these individuals. This resource describes how the monthly MMA file exchange process can benefit both states and dually eligible individuals.

Short URL: http://www.advancingstates.org/node/72113

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Benefits Access and Enrollment During COVID-19: Findings from State Aging and Disability Agencies

This report provides a summary of changes that states have made to their systems for connecting individuals to benefits and explores state agency changes, challenges, and opportunities related to benefits access and enrollment during the COVID-19 crisis. Data and findings are drawn from the ADvancing States 2020 COVID-19 Membership Survey.

Short URL: http://www.advancingstates.org/node/72085

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State Views on Program Administration Challenges

This report highlights results from a 50-state GAO survey on what challenges states are experiencing related to federal Medicaid regulations. As part of the survey, GAO conducted interviews with state Medicaid officials to identify the areas of greatest concern. This report identifies four program areas that were rated as significant or moderate challenges to effective program administration. GAO also discusses potential federal actions to address these challenges

Short URL: http://www.advancingstates.org/node/72066

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Exploring Options for Integration: State Considerations to Better Coordinate Medicare and Medicaid

This webinar discussed two issue briefs from the MLTSS Institute on aligning Medicare and Medicaid for dually eligible individuals. The briefs covered were, "Starting from Square One: Considerations for States Exploring Medicare-Medicaid" and, “The Value of Integration to State Medicaid Agencies”. The webinar also highlighted the perspective of the District of Columbia, which is planning to launch new program elements to better integrate care.

Short URL: http://www.advancingstates.org/node/72036

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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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