Medicaid

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Building Complex Care Programs: A Road Map for States

Building Complex Care Programs: A Road Map for States is a guide for state leaders in establishing and advancing complex care programs. This guide from the National Governors Association Center for Best Practices (NGA Center) Health Division includes lessons learned from their work with states and effective practices gleaned from multiple pioneering state and local complex care initiatives.

Short URL: http://www.advancingstates.org/node/69997

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Health Care Experiences of Adults with Disabilities Enrolled in Medicaid Only: Findings from a 2014-2015 Nationwide Survey of Medicaid Beneficiaries

In the Fall of 2014, the Center for Medicaid and CHIP Services (CMCS) conducted a Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The survey interviewed a representative sample of adults ages 18 and older enrolled in Medicaid between October 2013 through December 2013. This survey provides baseline information on the experiences of low-income adults prior to a state’s expansion of coverage to the new adult group that took effect on 1/1/2014.

Short URL: http://www.advancingstates.org/node/69992

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Advancing Medicare and Medicaid Integration: Key Program Features and Factors Driving State Investment

For individuals who receive services from both Medicare and Medicaid, care is often fragmented across a wide array of medical, behavioral health, and long-term care providers. Medicare and Medicaid offer otherwise uncoordinated systems of care with different eligibility criteria, benefits, provider networks, and enrollment processes. This issue brief describes key features of effective integrated care programs and presents top policy considerations driving state investment in these programs.

Short URL: http://www.advancingstates.org/node/69991

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Examining Oral Health Care Utilization and Expenditures for Low-Income Adults

This brief analyzes dental service use and cost data for non-elderly Medicaid-enrolled adults by individual, community, and state-level factors. This brief is intended to help stakeholders identify opportunities to improve access to care and, ultimately, achieve sustainable oral health improvements for low-income adults.

Short URL: http://www.advancingstates.org/node/69939

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Bridging the Health and Housing Gap Transitioning Medicaid Recipients from Institutions to the Community in the Context of Housing Shortages and Affordability

This report reviews federal health and housing policies, noting the barriers created that seniors with clinically-driven housing insecurity must navigate. It also reviews a series of initiatives that ACAP members are undertaking to address housing as a social determinant for this vulnerable population, with examples from California, Ohio, and North Carolina.

Short URL: http://www.advancingstates.org/node/69937

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Strategies to Address the Opioid Epidemic

This letter from CMS is about how they will offer additional flexibilities to help states improve access to and quality of substance use disorder treatment through Medicaid 1115 demonstrations. CMS’s main goal is to support state initiatives to improve access to treatment by requiring less upfront administrative process barriers for approvals of state initiatives to improve access to treatment by requiring less upfront administrative process barriers for approvals of state initiatives.

Short URL: http://www.advancingstates.org/node/69901

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Using Medicaid Levers to Support Health Care Partnerships with Community-Based Organizations

This fact sheet outlines strategies to help Medicaid stakeholders encourage partnerships between community-based organizations and health care organizations. States can provide: (1) financial support to build and sustain program capacity; (2) assistance in identifying metrics for evaluation; (3) incentives to providers to address social determinants of health; and (4) use of policy levers, including value-based contracts, managed care organization regulations, and state plan amendments.

Short URL: http://www.advancingstates.org/node/69899

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Top 10 Recommendations to Strengthen Integrated Care: Lessons from California’s Dual Eligible Demonstration

This brief from the SCAN Foundation summarizes lessons learned and offers recommendations for improving integrated systems of care for people with Medicare and Medicaid, also known as dually eligible individuals. The brief draws from three years of California’s Cal MediConnect evaluation results.

Short URL: http://www.advancingstates.org/node/69833

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Integrating Oral Health into Oregon Medicaid’s Coordinated Care Model: Lessons for State Policymakers

Many adults enrolled in Medicaid lack adequate dental care coverage. Oregon uses Medicaid coordinated care organizations to offer integrated physical, mental health, and now oral care. A new NASHP report, supported by the DentaQuest Foundation, examines Oregon’s innovative payment and financing structures, incentive measures, and key partnerships that were important to building this model. This report is helpful for policymakers considering integrating dental in Medicaid reform.

Short URL: http://www.advancingstates.org/node/69828

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Medicaid Agency Partnerships with State Health Insurance Programs: Opportunities to Improve Care for Medicare-Medicaid Enrollees

This brief from the Integrated Care Resource Center discusses opportunities for Medicaid agencies to partner with State Health Insurance Programs (SHIPs). Every state has a SHIP that is responsible for providing counseling and assistance for people with Medicare and their families. This brief highlights approaches used by Arizona, Massachusetts, and Texas, where SHIPs and Medicaid agencies have worked together to educate Medicare-Medicaid enrollees on new care delivery options.

Short URL: http://www.advancingstates.org/node/69759

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