Medicaid

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A Framework for State-Level Analysis of Duals: Interleaving Medicare and Medicaid Data

The first in a series of reports, this study is a product of a larger effort by the state of Maryland and The Hilltop Institute to address questions related to the coordination of care for Medicaid recipients who are dually eligible for Medicare benefits. The report focuses on issues related to setting Medicaid payment rates. Although based on Maryland data alone, results from this study will be broadly relevant to other states as well.

Short URL: http://www.advancingstates.org/node/51822

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Medicaid Coverage of Peer Support for People with Mental Illness: Available Research and State Examples

This report summarizes available research to date regarding the effectiveness of peer support and presents State examples of peer support within three different Medicaid authorities (State Plan, 1915(b), and 1915(c)). State Medicaid Agencies and their partner mental health agencies can find guidance here for efforts to incorporate peer support into Medicaid programs.

Short URL: http://www.advancingstates.org/node/51817

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Medicaid Home and Community-Based Service Programs: Data Update

PAS Center offers state-by-state participant and expenditure data for all of Medicaid and the three main HCBS programs: 1915(c) waivers, home health, and state plan personal care. The December 2008 update provides 2005 data complemented by survey results related to program policies and provider reimbursement rates.

Short URL: http://www.advancingstates.org/node/51809

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Short Term Options for Medicaid in a Recession

Recessions deliver a one-two punch to Medicaid by undercutting available public funds and increasing demand for services. This policy brief presents several options for strengthening Medicaid during these periods. Options outlined include: directing federal funding support; quickly reauthorizing SCHIP; simplifying enrollment; easing burdens imposed by the process of proving citizenship; and expanding coverage to those hit hardest by recession.

Short URL: http://www.advancingstates.org/node/51808

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Indiana Medicaid Home and Community-Based Services Waiver Programs: A Guide for Consumers

One way Indiana communicates with HCBS waivers consumers is via this document. Updated periodically, it describes available waivers and what services they cover, eligibility requirements, quality assurance mechanisms and the rights of the consumer. It also provides instructions for applying, contact information for other HCBS resources, and tips on choosing good providers. The guide comes with a feedback and evaluation survey.

Short URL: http://www.advancingstates.org/node/51801

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Increasing Use of the Capitated Model for Dual Eligibles: Cost Savings Estimates and Public Policy Opportunities

This report estimates that public financial and personal clinical outcomes can be improved by moving dual eligibles to capitated managed care. The authors view the clinical and eligibility characteristics of dual eligibles as well-matched to the strengths of integrated care programs. The document lays out the reasoning and data behind the estimate, recommends policy changes needed to make the transition, identifies potential barriers to implementation and offers examples from KY and MN.

Short URL: http://www.advancingstates.org/node/51798

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Medicaid Infrastructure Grants: Presentation and Resources

This presentation on Medicaid Infrastructure Grants (MIG) presents information regarding what ADRCs need to know about work incentive programs for individuals with disabilities. The presentation was part of the ADRC TA program and was delivered in November 2008. Additionally, a link is included to an informational website for the Ticket to Work Incentives Improvement Act.

Short URL: http://www.advancingstates.org/node/51795

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Medicaid: A Primer

Everything from program structure, eligibility, services, financing and expenditures are covered here in concise summaries. This updated edition also contains graphics showing expenditures by service and the growth of Medicaid acute care spending as compared to private health plans. The tables at the end present data broken down by state. Refer to the 2007 version for historic perspective.

Short URL: http://www.advancingstates.org/node/51785

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Vermont's Choices for Care Medicaid Long-Term Services Waiver: Progress and Challenges As the Program Concluded Its Third Year

In 2005, VT became the first state to commit to a federal Medicaid funding cap in exchange for expanded eligibility definitions and access to home and community-based services under a Section 1115 waiver. Case studies and interviews are used to present key findings from the program. Key design features are also presented. Finally, future issues within VT and other states that might emulate the program are discussed.

Short URL: http://www.advancingstates.org/node/51777

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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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