Managed Care

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Fundamentals of Community-Based Managed Care: A Field Guide

The Spring 2018 issue of Generations, the quarterly journal of the American Society on Aging, is divided into three main parts. These three sections are building community partnerships, building business practices, and examples of successful CBO use of business acumen. This issue also has a special focus on how the social determinants of health influence the experience of older adults in the community.

Short URL: http://www.advancingstates.org/node/70352

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Taking It to the Next Level: Using Innovative Strategies to Expand Options for Self-Direction

This report from AARP's Public Policy Institute is part of a series of papers focusing on innovative strategies. It explores the benefits of self-directed care and looks at best practices used in Texas, Iowa, Wisconsin, and Florida. The report also provides a toolkit for educational and training purposes to help states improve and expand upon their self-directed LTSS programs.

Short URL: http://www.advancingstates.org/node/70341

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The Growth of Managed Long-Term Services and Supports Programs: 2017 Update

CMS recently released a 2017 update to its 2012 MLTSS inventory, compiled by Truven Health Analytics. This study reviewed available information about the status of Medicaid MLTSS programs, and provides updates on the prevalence of MLTSS programs, total enrollment, and specific program design elements as of August 2017. The report surveys the landscape of MLTSS programs across the country, provides detailed summaries of each MLTSS program, and identifies national trends.

Short URL: http://www.advancingstates.org/node/70315

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Medicaid Assisted Living Services: Improved Federal Oversight of Beneficiary Health and Welfare Is Needed

This report examines state and federal oversight of assisted living services in Medicaid. Individuals receiving long-term care services from Medicaid in community residential settings is expected to grow. This report describes state spending on and coverage of these services; describes how state Medicaid agencies oversee the health and welfare of beneficiaries in these settings; and examines the extent that CMS oversees state Medicaid agency monitoring of assisted living services.

Short URL: http://www.advancingstates.org/node/70145

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Medicaid: CMS Should Take Additional Steps to Improve Assessments of Individuals’ Needs for Home- and Community-Based Services

The Government Accountability Office (GAO) examined states’ needs assessment processes for provision of long-term services and supports. GAO studied six states that differed in the following ways: assessment tools in use, participation in federal initiatives, HCBS delivery systems, and geographic location. GAO also reviewed federal requirements and documents and interviewed CMS officials and stakeholders.

Short URL: http://www.advancingstates.org/node/70095

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How CBOs Contract, Receive Reimbursement for HCBS in Medicaid Arrangements – A Blueprint for Success

During this webinar, a panel of experts provide real-world strategies that CBOs can use to effectively expand access to their services, work with state Medicaid programs, contract with managed care, and ensure sufficient reimbursements.

Short URL: http://www.advancingstates.org/node/70023

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2016 Centers for Independent Living (CIL) Transition & Diversion Services Survey Study Summary of Findings: Institutional Transition

The aim of this study was to gather information to gain a better understanding of the resources and assistance needs CILs may have with the new WIOA implementation guidelines in effect.

Short URL: http://www.advancingstates.org/node/70006

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