Medicaid

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MACPAC June 2020 Report to Congress on Medicaid and CHIP

The MACPAC June 2020 Report to Congress on Medicaid and CHIP was created prior to the COVID-19 pandemic and highlights long-term challenges facing Medicaid. Across six chapters, it discusses key issues including integrated care for dually eligible Medicaid and Medicare beneficiaries, Medicare Savings Programs, and Medicaid's statutory role as the payer of last resort.

Short URL: http://www.advancingstates.org/node/72049

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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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Short-Term Money Follows the Person Extensions Resulted in a Significant Drop in State Efforts to Transition People Out of Institutions

The Community Living Policy Center (CLPC) released a brief describing how short-term extensions of the Money Follows the Person (MFP) program have curtailed state efforts in transitioning individuals out of institutions. The CLPC based their findings on CMS data on annual transitions in each state.

Short URL: http://www.advancingstates.org/node/72035

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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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2019 National Preadmission Screening and Resident Review Report

This annual report summarizes states’ self-reported data related to certain quality measures, including the timeliness of the PASRR evaluations and the outcomes for applicants and residents resulting from the evaluations. The report also provides a brief background of PASRR and outlines states' data tracking capabilities.

Short URL: http://www.advancingstates.org/node/71948

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Making Integration Work: Key Elements for Effective Partnerships between Physical and Behavioral Health Organizations in Medicaid

This report examines how health plans can partner to promote successful integration of care for enrollees with behavioral health conditions. As part of this report, CHCS interviewed leaders of organizations that are partnering to integrate care.. The report analyzes findings from Colorado, Oregon, Arizona, And Arkansas and highlights key elements that contribute to successful partnerships between physical and behavioral health organizations.

Short URL: http://www.advancingstates.org/node/71939

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Key State Policy Choices About Medicaid Home and Community-Based Services

This issue brief discusses state policy trends using data from KFF’s 18th annual 50-state survey. It discusses policy areas such as implementation of electronic visit verification and value based payment models. The brief highlights key findings across the topics areas of HCBS program flexibility, MLTSS, and response to federal regulations

Short URL: http://www.advancingstates.org/node/71918

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Medicaid Home and Community-Based Services Enrollment and Spending

This brief includes the latest (FY 2018) Medicaid HCBS enrollment and spending data from KFF’s 18th annual 50-state survey. It contains data about per-enrollee spending on HCBS by target population and HCBS waiver waiting lists. This issue brief also includes tables with detailed state-level data. One key finding analyzed here is that most HCBS enrollees receive services provided at the state option.

Short URL: http://www.advancingstates.org/node/71917

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Value-Based Payment for Home and Community-Based Services: Intellectual and Developmental Disability Systems

This brief highlights the efforts of states who implemented Value Based Payment initiatives within systems that support individuals with intellectual or developmental disabilities (I/DD). The brief emphasizes the importance of understanding the population and provides an overview of the population served and their length of engagement with the service system. It looks at the experiences of OH and WA in the Medicaid Innovation Accelerator Partnership program from April 2018 to September 2019.

Short URL: http://www.advancingstates.org/node/71905

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