Medicaid

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Advancing Value & Quality in Medicaid Service Delivery for Individuals with Intellectual & Developmental Disabilities

While healthcare payment systems are moving toward paying for value, the unique needs of individuals with I/DD and their families means that the transition toward alternative payment models (APMs) for Medicaid-funded services must be undertaken carefully. This white paper includes 14 payment reform principles to guide the development and assessment of new and emerging APMs for Medicaid I/DD services. The paper also includes 13 recommendations for current and future APMs for I/DD services.

Short URL: http://www.nasuad.org/node/71064

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October 2018 Medicaid & CHIP Enrollment Data

The Centers for Medicare & Medicaid Services released their monthly report for October 2018 on Medicaid and CHIP application, eligibility determination, and enrollment data. This report includes point-in-time data from all 50 states and the District of Columbia, including the number of applications submitted directly to Medicaid and CHIP agencies, the number of eligibility determinations made on these applications, and the total number of individuals enrolled in the Medicaid and CHIP programs.

Short URL: http://www.nasuad.org/node/71037

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Fiscal Survey of the States: Fall 2018

This semi-annual report analyzes the fiscal condition of the states and includes data summaries of state general fund revenues, expenditures, and balances. State fiscal conditions continue to show signs of improvement and greater stability. Fiscal 2019 is projected to be the ninth year in a row with moderate state spending and revenue growth. State general fund spending is expected to grow 4.3 percent in fiscal 2019 compared to fiscal 2018 levels.

Short URL: http://www.nasuad.org/node/70958

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September 2018 Medicaid & CHIP Enrollment Data

The Centers for Medicare & Medicaid Services released their monthly report for September 2018 on Medicaid and CHIP application, eligibility determination, and enrollment data. This report includes point-in-time data from all 50 states and the District of Columbia, including the number of applications submitted directly to Medicaid and CHIP agencies, the number of eligibility determinations made on these applications, and the total number of individuals enrolled in the Medicaid and CHIP programs.

Short URL: http://www.nasuad.org/node/70949

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States Focus on Quality and Outcomes Amid Waiver Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2018 and 2019

This recently released report examines the reforms, policy changes, and initiatives that occurred in FY 2018 and those adopted for implementation for FY 2019. The report focuses on changes in eligibility, managed care and delivery system reforms, long-term services and supports, provider payment rates and taxes, covered benefits, and pharmacy and opioid strategies.

Short URL: http://www.nasuad.org/node/70859

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A comparison of nursing home usage in states with and without Medicaid Managed LTSS

This study from Milliman highlights the success that MLTSS programs have had in reducing institutional care for older adults and people with disabilities compared to states operating a fee for service system, both in absolute numbers as well as the acuity level of consumers receiving services in nursing facilities.

Short URL: http://www.nasuad.org/node/70858

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August 2018 Medicaid & CHIP Enrollment Data

The Centers for Medicare & Medicaid Services released their monthly report for August 2018 on Medicaid and CHIP application, eligibility determination, and enrollment data. This report includes point-in-time data from all 50 states and the District of Columbia, including the number of applications submitted directly to Medicaid and CHIP agencies, the number of eligibility determinations made on these applications, and the total number of individuals enrolled in the Medicaid and CHIP programs.

Short URL: http://www.nasuad.org/node/70848

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Expansion Medicaid Transitions Guide

This guide is intended to educate state advocates nationally about the expansion Medicaid-to-Medicare transition process, assist them in troubleshooting problems their clients are facing, and guide them as they explore potential improvements to current processes. State advocates can use this guide as a roadmap to help residents access Medicare and other insurance programs and ensure that Medicare beneficiaries receive the benefits for which they are eligible.

Short URL: http://www.nasuad.org/node/70833

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Achieving Value in Medicaid Home- and Community-Based Care: Considerations for Managed Long-Term Services and Supports Programs

Medicaid value-based payment (VBP) models tie payment to outcomes including quality of care, health status, and costs. This guide outlines considerations for adopting value-based payment (VBP) to promote high-quality MLTSS programs. It combines insights from five states - Minnesota, New York, Tennessee, Texas, and Virginia - with input from national health policy experts.

Short URL: http://www.nasuad.org/node/70745

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Exploring the Growth of Medicaid Managed Care

This report presents information on managed care’s enrollment and spending. It explores the growth of enrollment in Medicaid Managed Care in the United States and the contributing factors. It also analyzes the fact that funding does not directly parallel enrollment, as the share of total Medicaid spending that went to managed care only grew from 15 percent to 37 percent between 1999 and 2012, despite enrollment growing from 63 percent to 89 percent during that same time period.

Short URL: http://www.nasuad.org/node/70681

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