Medicaid Integration

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Getting into Gear for 2014: Briefing, Survey Examine 2013 Data From 50-State Survey of Medicaid and CHIP Eligibility and Enrollment Policies

As 2014 approaches, many states are preparing for implementation of the major provisions of the Affordable Care Act (ACA) law, including a new streamlined Medicaid enrollment system and, at states' option, the expansion of Medicaid. It has been found that nearly all states are pressing forward with information technology and process improvements to develop faster, streamlined Medicaid enrollment systems, whether or not the state elects to expand Medicaid coverage under the law.

Short URL: http://www.advancingstates.org/node/53352

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States’ Plans to Pursue New and Revised Options for Home- and Community-Based Services

States have continued to rebalance their long-term services and supports (LTSS) toward more home and community-based services (HCBS). This report uses diverse methods to assess the different incentives affecting states’ decisions to implement the four Medicaid HCBS options under the Patient Protection and Affordable Care Act (PPACA); two new options (Community First Choice and the Balancing Incentive Program) and two existing [Money Follows the Person and 1915(i)].

Short URL: http://www.advancingstates.org/node/53122

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Integrated Care Models For Dual-Eligible Beneficiaries

As state and federal policymakers move to develop and test integrated care models for people dually eligible for Medicare and Medicaid, two new Kaiser Family Foundation articles in the June 2012 issue of Health Affairs highlight the diverse needs and challenges facing these 9 million beneficiaries, describe their current care arrangements, and raise issues to consider for proposed reforms aimed at better coordinating their care and reducing health care spending.

Short URL: http://www.advancingstates.org/node/53118

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Health Reform Law Creates New Opportunities for States to Save Medicaid Dollars

Health care reform offers opportunities for cash-strapped Medicaid programs to save money and get extra federal dollars. Amid the budget shortfalls that most states are experiencing, state policymakers should carefully consider the new opportunities presented by health care reform and direct their resources to those that will both improve health outcomes and services and realize cost savings or efficiencies.

Short URL: http://www.advancingstates.org/node/52934

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Money Follows the Person: Change in Participant Experience During the First Year of Community Living

Mathematica released the sixth report in a series that use the latest data available on MFP grants and state efforts to transition Medicaid enrollees to community living and rebalance LTC systems. The report presents survey results showing change in quality of life, quality of care and community integration reported by 803 MFP participants after one year of community living. The authors explore policy implications for MFP and other transition programs.

Short URL: http://www.advancingstates.org/node/52918

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Community Integration for People with Disabilities: The Role of Long-Term Care and the Medicaid Buy-In

What are some of the essential components of Medicaid long-term care programs? This brief, geared towards people working in Medicaid or disability employment, discusses payment for long-term care, range of services, administration, eligibility, functional assessment and rebalancing of long-term care systems. Also find examples of how some states have incorporated aspects of long-term care services and supports (LTSS) into their Medicaid Buy-In (MBI) programs.

Short URL: http://www.advancingstates.org/node/52665

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Rising Demand for Long-Term Services and Supports for Elderly People

This report provides a summary of how long-term services and supports (LTSS) are financed and describes factors that contribute to uncertainty of the future costs for LTSS, including changes in how LTSS will be delivered. Three projections of future LTSS spending for senior populations under different scenarios are offered. These scenarios differ based on projecting the number of people with varying functional limitations and the resulting need for varying degrees of LTSS.

Short URL: http://www.advancingstates.org/node/51763

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Discussion Paper: Advancing Self-Sufficiency for Medicaid Beneficiaries: Meeting the Challenges of the Olmstead Integration Mandate

For states that receive federal funding, the Olmstead decision confirmed the obligation to serve individuals with disabilities in more integrated settings rather than provide supports and services in institutional settings. As states move forward with strategies to support community living for individuals with disabilities and promote the principles of person-centered planning, these tools and strategies provide complimentary opportunities to accelerate the achievement of inclusive outcomes.

Short URL: http://www.advancingstates.org/node/51560

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