Medicaid Managed Long Term Care

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Black Beneficiaries Generated Lower Medicaid Spending, Utilization

JAMA researchers found lower service use and lower Medicaid spending among the Black population for both during a review of health care spending statistics between White and Black Medicaid enrollees. Medicaid beneficiaries make up a diverse population, yet existing disparities persist. To explore differences in Medicaid spending between Black and White populations, researchers conducted a cross-sectional study using data from three states in 2016. Researchers used data from 1,966,689 enrollees in the study, including both adults and children. Of this population, 867,183 identified as non-Hispanic Black, and 1,099,506 identified as non-Hispanic White.

Short URL: http://www.advancingstates.org/node/73993

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Indiana Family and Social Services Administration

Prior to COVID-19, Indiana hosted stakeholder workgroups to identify needed improvements to its Medicaid-funded long-term services and supports (LTSS) system. The pandemic amplified existing disparities, including inequitable access to community-based care, unaligned and uncoordinated care for dually eligible individuals, and broad gaps in capacity and resources to effectively oversee and implement the LTSS reform effort. With support from Arnold Ventures, Indiana’s Family and Social Services Administration (IN FSSA) is working with project partners to design a Medicare-Medicaid integration strategy for dually eligible individuals enrolled in MLTSS and engage providers in its development process.

Short URL: http://www.advancingstates.org/node/73946

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Addressing Nursing Facility Financing Challenges during MLTSS Program Development

ADvancing States is pleased to announce the release of a new issue brief, Addressing Nursing Facility Financing Challenges during MLTSS Program Development developed in collaboration with Milliman. This brief is intended to shed light on the complex and often-misunderstood relationship between nursing facility financing and Medicaid delivery system design.

Short URL: http://www.advancingstates.org/node/73873

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Investing in Integration: Indiana’s Long-Term Care System Redesign Focuses on Dual-Eligible Populations

In this blog post, Nancy Archibald, MHA, MBA, Associate Director of Integrated Care at CHCS, describes the state of Indiana's plan to launch Medicaid managed long-term services and supports in 2024. The state is receiving grant funding through Advancing Medicare & Medicaid Integration, an Arnold Ventures initiative developed in partnership with CHCS that assists states in filling resource gaps in designing and launching integrated care programs.

Short URL: http://www.advancingstates.org/node/73609

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LTSS Choices: The Role of Medicaid Managed Long-Term Services and Supports during the COVID-19 Pandemic

This report explores the role played by managed care organizations delivering Medicaid long term services and support programs during the COVID-19 pandemic. The report looks at the roles and responsibilities of governments, nursing homes, and MLTSS plans and argues their role in the pandemic response as well as the role of federal funding and data use, should all be examined further to inform future policy.

Short URL: http://www.advancingstates.org/node/73215

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Medicaid and CHIP Managed Care Monitoring and Oversight Tools

CMS has released a Center Informational Bulletin providing tools to states and CMS to improve the oversight of managed care and increase beneficiaries’ access to care. In the bulletin, CMS shares resources to improve compliance with managed care standards and requirements and guidance setting the content and format of the Annual Managed Care Program Report. The bulletin also outlines multiple tools and resources for improving managed care oversight that are currently in development at CMS.

Short URL: http://www.advancingstates.org/node/72716

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Medicaid LTSS Annual Expenditures Report for Federal Fiscal Years (FFY) 2017 & 2018

On January 19th Centers for Medicare & Medicaid Services (CMS) released the Medicaid LTSS Annual Expenditures Report for Federal Fiscal Years (FFY) 2017 and 2018. This report discusses the LTSS rebalancing trends and growth in expenditures for home and community based services (HCBS) as compared to institutional spending during these select years.

Short URL: http://www.advancingstates.org/node/72347

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LTSS Choices: A Series on Transforming Long-Term Services & Supports

The AARP Public Policy Institute recently launched a three-year initiative which aims to transform long term care in the United States. LTSS Choices will be a series of reports, blogs, videos, podcasts, and virtual convenings that seek to catalyze reform and spark ideas to modernize LTSS, long term services and supports. The goal is a long-term care system that provides a wide range of choices to meet the dynamic needs and preferences of consumers and their families.

Short URL: http://www.advancingstates.org/node/72291

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New Updates to theCoverage and Reimbursement of COVID-19 Vaccines, Vaccine Administration and Cost Sharing under Medicaid, the Children’s Health Insurance Program, and Basic Health Program Toolkit

CMS released an update to the COVID-19 Vaccines Toolkit that was released on 10/28/20 and first updated on 11/23/20. This update includes more information on vaccine administration reimbursement and outlines a streamlined review process available to states looking to quickly adjust vaccine administration reimbursement rates in state plans. The toolkit also provides more clarification on managed care network adequacy and the phased distribution and administration approved COVID-19 vaccines.

Short URL: http://www.advancingstates.org/node/72290

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MACPAC Releases 2020 Edition of MACStats: Medicaid and CHIP Data Book

The Medicaid and CHIP Payment and Access Commission (MACPAC) released the 2020 edition of the MACStats: Medicaid and CHIP Data Book, with updated data on national and state Medicaid and State Children’s Health Insurance Program (CHIP) enrollment, spending, benefits, and beneficiaries’ health, service use, and access to care. MACStats brings together the range of Medicaid and CHIP statistics, including eligibility and enrollment, benefits, service use and access to care.

Short URL: http://www.advancingstates.org/node/72278

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