Managed Care

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Improved Oversight Needed of Payment Rates for Long-Term Services and Supports

On February 8th, the Government Accountability Office publicly released a report on Medicaid managed care and Long-term Services and Supports. The report examined MLTSS program goals, payment structures, financial incentives for plans, and federal monitoring programs. The report makes several recommendations for CMS.

Short URL: http://www.advancingstates.org/node/69196

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Quality in Home and Community-Based Services to Support Community Living: Addressing Gaps in Performance Measurements

This report represents two years of work by the HCBS Committee and and contains the Committee's final set of recommendations. It describes key components of a conceptual foundation for home and community based services (HCBS) quality measurement, specifically an operational definition of HCBS, a list of characteristics describing high-quality HCBS, and a measurement framework of 11 domains and 40 subdomains.

Short URL: http://www.advancingstates.org/node/68558

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State Trends in the Delivery of Medicaid Long-Term Services and Supports

On Wednesday, July 20, 2016, the Center for Health Care Strategies, Inc. (CHCS) published a new brief, “State Trends in the Delivery of Medicaid Long-Term Services and Supports.” With support from The SCAN Foundation, seven states (Arizona, California, Kansas, Minnesota, New Jersey, Tennessee, and Texas) were selected to provide insights into current trends in both managed long-term services and supports (MLTSS) program refinement and long term services and supports (LTSS) system reform.

Short URL: http://www.advancingstates.org/node/68244

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ADvancing States 2016 Policy Priorities: Aging and Disabilities in America

ADvancing States has released the association’s 2016 policy priorities. The priorities document outlines issues and recommendations regarding a wide range of health and human services programs important to older adults and people with disabilities. These include issues such as: • Implementation of the Older Americans Act reauthorization; • Medicaid LTSS innovations; • Support for caregivers; and • Employment for people with disabilities •

Short URL: http://www.advancingstates.org/node/67931

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Modernizing Medicaid and CHIP Managed Care

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). This final rule updates the options available and provides increased flexibility to states and Medicaid and CHIP managed care plans to communicate with beneficiaries.

Short URL: http://www.advancingstates.org/node/67758

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Strengthening the Delivery of Managed Long Term Services and Supports

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). As states increasingly turn to managed care to deliver long term services and supports (MLTSS) to seniors and people with disabilities enrolled in Medicaid, CMS has strengthened approaches to MLTSS programs and beneficiary protections, while allowing states flexibility in program design and administration.

Short URL: http://www.advancingstates.org/node/67757

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Strengthening Program and Fiscal Integrity and Accountability

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). This document discusses how the final rule will strengthen the fiscal integrity of Medicaid and CHIP managed care.

Short URL: http://www.advancingstates.org/node/67756

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Strengthening States’ Delivery System Reform Efforts

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP).The final rule contains several provisions designed to strengthen states’ delivery system reform efforts and support local priorities and initiatives while ensuring quality of care for Medicaid beneficiaries.

Short URL: http://www.advancingstates.org/node/67755

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Strengthening the Consumer Experience

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP)This final rule updates the options available to states and Medicaid and CHIP managed plans to communicate with beneficiaries.

Short URL: http://www.advancingstates.org/node/67754

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Improved Alignment with Medicare Advantage and Private Coverage Plans

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). The rule, which is the first overhaul of Medicaid and CHIP managed care regulations in more than a decade, advances the Administration’s efforts to modernize the health care system to deliver better care, smarter spending, and healthier people.

Short URL: http://www.advancingstates.org/node/67752

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