Medicaid Managed Long Term Care

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Analysis of the National Commission on Fiscal Responsibility and Reform

Bowles and Simpson, the co-chairs of the National Commission on Fiscal Responsibility and Reform drafted their recommendations to achieve fiscal sustainability. This analysis provides an overview of the commission’s formation, its structure and recommendations, and its potential impact on the aging and disability networks. The report’s legislative recommendations have implications for Medicaid, Medicare, Social Security, Community Living Assistance Services and Supports (CLASS), and more.

Short URL: http://www.advancingstates.org/node/53149

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2012 State of Aging and Disabilities Survey: Another Year of Challenges Tempered by Opportunities

State aging and disability agencies have operated within a tumultuous environment for the past several years. It has become increasingly more difficult to reconcile the needs of older adults and people with disabilities with the resources available to address those needs. Five themes are identified from the 2012 state of aging and disabilities surveys, which include the acceleration of Medicaid managed long term services and supports and continuing loss of historical knowledge around the nation.

Short URL: http://www.advancingstates.org/node/53349

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Managed Long-Term Services and Supports: 2012 Report to the President

This report provides background on MLTSS to brief the intellectual and developmental disability community, as well as the President and the Secretary of the Department of Health and Human Services, on managed care and changes in LTSS administration so that they may take action and influence outcomes. The report also contains a number of recommendations related to disability stakeholder engagement, choice and self-determination, consumer protections and rights and quality measurement.

Short URL: http://www.advancingstates.org/node/53399

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The Managed Fee-for-Service Option to Integrate Care for Dual-Eligibles: A Guide for State Advocates

CMS created a financial alignment demonstration to better promote coordinated care for dual-eligibles. The fee-for-service managed care model has received less attention than capitated managed care. However, this model could be useful in states or regions where traditional managed care organizations are not well established or do not function well. This brief makes some assessments of the advantages and difficulties of the model and identifies elements necessary for successful implementation.

Short URL: http://www.advancingstates.org/node/53395

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Health Home Information Resource Center

The Affordable Care Act authorized the Medicaid Health Home State Plan Option, which allows states to design health homes to provide comprehensive care coordination for Medicaid beneficiaries with chronic conditions. States will receive enhanced federal funding to support the rollout of this new integrated model of care. This link directs to the Health Home Resource Center that provides technical assistance services for states as they submit their proposals for these health homes to CMS.

Short URL: http://www.advancingstates.org/node/53385

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Integrating Medicare and Medicaid: Webinar

In light of the 26 states that have applied to the Centers for Medicare and Medicaid Services for permission to integrate Medicare and Medicaid for dual eligibles, the webinar explained the processes involved in the demonstrations, with a focus on how the new systems will affect both assisted living and long-term services and supports. Visit the website to download a recording and slides from the presentation.

Short URL: http://www.advancingstates.org/node/53331

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National Summary of State Medicaid Managed Care Programs - 2011

This report is composed annually by the Data and Systems Group (DSG) of the Centers for Medicare & Medicaid Services (CMS). It provides descriptions of the states’ Medicaid managed care programs as of July 1, 2011. The report is organized by 1915(b), 1115, 1932(A), 1915(A), Concurrent 1915(B/C), Concurrent 1915(A/C), 1932, 1937, and PACE programs.

Short URL: http://www.advancingstates.org/node/53320

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Medicaid Managed Care Enrollment Report

This report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. It provides national-level summary tables relating to trends, breakout of managed care entities, managed care enrollment by state, regional breakout and states with comprehensive health care reform demonstrations. The information was collected from State Medicaid agencies and CMS Regional Offices.

Short URL: http://www.advancingstates.org/node/53319

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Long-Term Services and Supports: Challenges and Opportunities for States in Difficult Budget Times

This paper discusses the progress states have made in moving away from institutional care for Long-Term Supports and Services and toward home and community-based programs. It analyzes the opportunities available through the Affordable Care Act and other programs whereby states can continue that progress even in a challenging budget environment.

Short URL: http://www.advancingstates.org/node/53311

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