Medicaid Waivers

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State Health Official Letter - Updated Guidance Related to Planning for the Resumption of Normal State Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) Operations Upon Conclusion of the COVID-19 Public Health Emergency

CMS released a SHO letter with updated guidance to assist states in planning for resuming normal state Medicaid, CHIP, and BHP operations for the eventual end of the public health emergency. The SHO provides updated guidance regarding the extended timeframe for states to complete pending work in eligibility and enrollment to up to 12 months after the PHE ends and redetermination of eligibility requirements states must complete after the PHE for all beneficiaries before taking adverse actions.

Short URL: http://www.advancingstates.org/node/72973

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States Use Appendix K and Emergency Waivers to Support HCBS Services in Response to COVID-19

NASHP has published an Appendix K interactive map, supported by The John A. Hartford Foundation, to track each state’s new flexibilities in modified 1915 (c) and 1115 waivers. States are using these waivers and amendments to ensure that their older adults and family caregivers are receiveing the LTSS services they need during the pandemic.

Short URL: http://www.advancingstates.org/node/72943

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Medicaid 201: An Overview of State Plan Amendments & Waivers

The Institute for Medicaid Innovation has released a new report on how amendments and waivers are used to support innovative Medicaid program payment and delivery system models. The report is the second release in IMI’s “Introduction to Medicaid” series. The resource outlines 5 ccommon Medicaid waivers including a comparison table of all waivers implemented throughout the country. The report also explores the current use of 1135 waivers to respond to the COVID-19 pandemic.

Short URL: http://www.advancingstates.org/node/72506

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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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Report to Congress on Innovative State Initiatives and Strategies for Providing Housing-Related Services and Supports under a State Medicaid Program to Individuals with Substance Use Disorder who are Experiencing or at Risk of Experiencing Homelessness

CMS recently released a Report to Congress highlighting approaches five state programs implemented to address housing instability and improve treatment outcomes for people with Substance Use Disorder. Initiatives mentioned in the report focus on: providing housing-related supports that facilitate access to community resources; sharing data across systems to identify and target those in need for resources; and partnerships building across state and local health and housing systems and providers.

Short URL: http://www.advancingstates.org/node/72241

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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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Fair Labor Standards Act: Observations on the Effects of the Home Care Rule

The GAO released a report on the impacts of the 2013 regulation that revised the domestic service employment and companionship services under the Fair Labor Standards Act (FLSA). This rule, which became effective in 2015, had the effect of extending minimum wage and overtime protections to a broader range of home care workers, many of whom provide Medicaid-funded home and community based services (HCBS).

Short URL: http://www.advancingstates.org/node/72194

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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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