Medicaid

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Changes to Modified Adjusted Gross Income (MAGI)-based Income Methodologies

The Centers for Medicare & Medicaid Services issued a State Health Official letter that provides guidance on legislative changes to the modified adjusted gross income (MAGI)-based methodologies used for determining Medicaid and CHIP eligibility. In order to implement the changes to MAGI-based methods, states may need to update eligibility policies and procedures and make changes to eligibility systems logic.

Short URL: http://www.nasuad.org/node/71708

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Supporting the Critical Role of Family Caregivers: State Opportunities

This fact sheet was developed as part of the Center’s Helping States Support Families Caring for an Aging America initiative. Six states – Alabama, Idaho, Iowa, New Hampshire, South Carolina, and Virginia- are involved with the initiative. This fact sheet provides an overview of unpaid family caregiving and lists options state leaders can consider implementing in order to support family caregivers in their state.

Short URL: http://www.nasuad.org/node/71677

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Selected Characteristics of 10 States With the Greatest Change in Long-Term Services and Supports System Balancing, 2012–2016

The Centers for Medicaid & Medicare Services released a report that profiled the 10 states with the greatest change in Long-Term Services and Support (LTSS) system balancing. The report highlights characteristics of the 10 states and compares their change in LTSS system balancing with other states and provides a national overview on LTSS system balancing. State profiles consist of characteristics and strategies states utilized in their progress towards rebalancing their LTSS systems.

Short URL: http://www.nasuad.org/node/71673

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CMCS Informational Bulletin: Additional EVV Guidance

CMS released a bulletin addressing frequently asked questions regarding Electronic Visit Verification (EVV) requirements to beneficiaries receiving in-home care. This bulletin responds to questions surrounding beneficiaries with live-in caregivers, services delivered partially in the beneficiary's home, the provision of medical supplies, equipment, and appliances as a component of the Medicaid home health benefit, and the use of web-based timesheets as an EVV method.

Short URL: http://www.nasuad.org/node/71661

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Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care Transitions: State Options and Considerations

In 2021, under a recently released rule from CMS, D-SNPs will be required to notify the state or state’s designee when enrollees experience Medicare-covered hospital or skilled nursing facility admissions in order to ensure timely transitions of care. The Integrated Care Resource Center has released a brief that examines approaches from three states – Oregon, Pennsylvania, and Tennessee – to develop and implement information-sharing processes for their D-SNPs that support care transitions.

Short URL: http://www.nasuad.org/node/71656

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Moving Forward Together: Opportunities to Improve Program Integrity in Medicaid Non-Emergency Medical Transportation

The Leavitt Partners released a report reviewing the Medicaid non-emergency medical transportation (NEMT) benefit, focusing on the program integrity of the benefit. . The report examines challenges and opportunities for Medicaid directors in improving Medicaid NEMT program integrity.

Short URL: http://www.nasuad.org/node/71629

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Report to the President and Congress Section 1018 Action Plan for Technical Assistance and Support for Innovative State Strategies to Provide Housing-related Supports to Individuals with Substance Use Disorder under Medicaid

CMS provided the president and Congress a report detailing the center’s action plan to provide support and technical assistance to states delivering supports to Medicaid beneficiaries with substance use disorder (SUD). The report outlines how CMS plans to implement requirements of Section 1018(a) of the SUPPORT for Patients and Communities Act in 2020-2021.

Short URL: http://www.nasuad.org/node/71621

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Understanding Medicaid Buy-in: A Tool to Advance Employment for People with Disabilities

ACL, CMS, and the Department of Labor’s Office of Disability Employment Policy (ODEP) have released a Q&A document to help grantees, stakeholders, and self-advocates better understand the Medicaid buy-in program. The Medicaid buy-in program includes Medicaid eligibility groups that serve workers with disabilities who are earning income and whom states may charge premiums as a condition of Medicaid eligibility.

Short URL: http://www.nasuad.org/node/71620

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