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Addressing Social Determinants of Health via Medicaid Managed Care Contracts and Section 1115 Demonstrations

This report examines 40 Medicaid managed care contracts and 25 approved Section 1115 demonstrations. It identifies common themes across state approaches to incentivizing and requiring SDOH-related activities. CHCS also provides several additional policy recommendations for bolstering SDOH investment in state Medicaid offices.

Short URL: http://www.nasuad.org/node/70963

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File Downloads / Links

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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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Rural and Tribal Elder Justice Resource Guide

This guide was created in conjunction with the Rural and Tribal Elder Justice Summit. The goal of the summit was to enhance the ability of elder justice professionals to respond to the unique needs of older adults residing in rural and tribal communities by sharing best practices and proposing innovative strategies to fill the identified gaps in service needs. This guide provides information and resources on the challenges rural and tribal communities face in responding to elder abuse.

Short URL: http://www.nasuad.org/node/70927

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Workplace Accommodations: Low Cost, High Impact

This report from the Job Accommodation Network (JAN) analyzes the benefits and costs of workplace accommodations. JAN publishes this annual report using data from a survey they conduct with employers who contact them for specific information about workplace accommodations and/or the ADA. This year's results show that the majority of accommodations, 59 percent, were cost-free, while the typical cost of other accommodations was $500.

Short URL: http://www.nasuad.org/node/70924

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Implementing and Sustaining Evidence-Based Programs in Rural Settings

During this webinar, the Evidence-Based Leadership Collaborative (http://www.eblcprograms.org/) provided insight into the value of evidence-based programs. The EBLC highlighted rural communities who have demonstrated implementation success using community programs, 1:1 intervention and other program models. They also provided an overview of the ways Title III and other resources can be leveraged to improve access and sustain the work.

Short URL: http://www.nasuad.org/node/70921

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Potential Changes to Medicaid Long-Term Care Spousal Impoverishment Rules: States’ Plans and Implications for Community Integration

On Thursday, November 15, 2018, the Kaiser Family Foundation (KFF) published an issue brief exploring the upcoming changes to spousal impoverishment policies in Federal Medicaid HCBS policy. This report provides an explanation of why spousal impoverishment policies exist, the changes made by the Affordable Care Act (ACA), and the potential implications of the expiration of these ACA changes.

Short URL: http://www.nasuad.org/node/70901

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Electronic Visit Verification: A Blueprint for Self-Direction

This brief outlines successful EVV implementation in self-direction. Successful implementation is defined as one that protects and upholds the participant's choice and control over their services and supports while strengthening program integrity. The brief describes the functionality required to support self-direction, including flexible scheduling, protocols for EVV system use in areas without internet access, and workflows that support participant control of workers' hours.

Short URL: http://www.nasuad.org/node/70895

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