Medicaid Managed Long Term Care

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Aging and Disability Resource Center/No Wrong Door Functions: A Leading Indicator in the 2020 LTSS State Scorecard

ACL and the Lewin Group released a report highlighting key takeaways from the AARP 2020 LTSS State Scorecard on state efforts in establishing high-performing ADRC/NWD systems. The report compares current data with results from the 2017 LTSS State Scorecard. The report provides scores based on five domains in ADRC/NWD system functions. The report also shares promising practices/lessons learned from five states – Alabama, Georgia, Massachusetts, Ohio, and South Dakota.

Short URL: http://www.advancingstates.org/node/72240

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COVID-19: If Ever There Was A Time to Care About Medicare-Medicaid Integration it's Now

ATI Advisory released extensive data analysis of Medicare claims data to highlight the disparate impact of the COVID-19 pandemic on individuals eligible for both Medicare and Medicaid (dual eligibles).The analysis also offers policy pathways for states to improve integrated care for this vulnerable population.

Short URL: http://www.advancingstates.org/node/72232

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Reimbursement for Evidence-Based Health Promotion Programs in the Community: Strategies and Approaches to Medicaid and Medicare Advantage Coverage

NCOA and Health Management Associates (HMA) have released a new report detailing eight strategies and approaches to expand funding for evidence-based health programs. NCOA and HMA reviewed five states and one city- California, Colorado, Maine, Massachusetts, New York City, and Washington- with community-based organizations that have strong partnerships with Medicaid agencies and managed-care organizations.

Short URL: http://www.advancingstates.org/node/72186

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De-Mystifying Data: How Medicare Data Can Support Medicaid Agencies

This issue brief from the MLTSS Institute focuses on aspects of delivering effective care to individuals eligible for both Medicare and Medicaid (dually eligible individuals).The brief provides a primer on the ways that Medicare data can help states better deliver care to dually eligible individuals; it also details information about data sources and other resources available to help obtain and analyze Medicare data.

Short URL: http://www.advancingstates.org/node/72175

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How Health Plans Serving Dual Eligibles Can Center Equity During COVID-19

Justice in Aging published a new brief centered on the dual eligible population and programmatic recommendations to support equity. The recommendations are measures advocates and health plans can use to ensure equity is at the center of the response to COVID-19. Examples of recommendations in the brief include: Expanding/targeting outreach for COVID-19 and routine care based on information plans have about their members; Prioritizing HCBS and support for caregivers; Enhancing data collection

Short URL: http://www.advancingstates.org/node/72165

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

This brief draws from interviews with states operating new and long-standing MLTSS programs to identify six major trends in the refinement of MLTSS and underlying LTSS delivery systems nationally. The states examined in this brief are strengthening their Medicaid MLTSS programs to serve more LTSS beneficiaries and facilitate the development of integrated care programs that reduce service fragmentation for Medicare-Medicaid enrollees, particularly through Medicare Advantage D-SNPs

Short URL: http://www.advancingstates.org/node/72157

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State Views on Program Administration Challenges

This report highlights results from a 50-state GAO survey on what challenges states are experiencing related to federal Medicaid regulations. As part of the survey, GAO conducted interviews with state Medicaid officials to identify the areas of greatest concern. This report identifies four program areas that were rated as significant or moderate challenges to effective program administration. GAO also discusses potential federal actions to address these challenges

Short URL: http://www.advancingstates.org/node/72066

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Exploring Options for Integration: State Considerations to Better Coordinate Medicare and Medicaid

This webinar discussed two issue briefs from the MLTSS Institute on aligning Medicare and Medicaid for dually eligible individuals. The briefs covered were, "Starting from Square One: Considerations for States Exploring Medicare-Medicaid" and, “The Value of Integration to State Medicaid Agencies”. The webinar also highlighted the perspective of the District of Columbia, which is planning to launch new program elements to better integrate care.

Short URL: http://www.advancingstates.org/node/72036

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Starting from Square One: Considerations for States Exploring Medicare-Medicaid Integration

This issue brief from the MLTSS Institute focuses on aspects of delivering effective care to individuals eligible for both Medicare and Medicaid. Only about 2/3 of states have undertaken any activity to better integrate care for dually eligible beneficiaries; many have encountered a number of barriers in pursuing better integration of the Medicare and Medicaid programs. This issue brief identifies key questions that states should ask themselves before they design an integrated care program.

Short URL: http://www.advancingstates.org/node/72030

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Recognition of Family Caregivers in Managed Long-Term Services and Supports

This AARP Public Policy Institute research report examines support for family caregivers in managed long-term services and supports. The report finds that states have made progress in this area, but have opportunity to continue improving support for family caregivers in their MLTSS programs. One potential solution suggested by the report is to ensure that MLTSS contracts between states and health plans include clearly defined requirements to identify and support family caregivers.

Short URL: http://www.advancingstates.org/node/71997

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