Medicaid

The Center for Health Care Strategies, Inc. released a technical assistance brief, funded through support by the Robert Wood Johnson Foundation, titled "State Medicaid Managed Long-Term Services and Supports Programs: Considerations for Contracting with Medicare Advantage Dual Eligible Special Needs Plans."

The D.C., Georgia, Minnesota, and Vermont state innovation profiles capture projects, demonstrations, and partnerships that were shared by states at ADvancing States’s 2016 spring membership meeting. Each profile was developed in collaboration with the state agency.

During calendar year 2015, ADvancing States engaged in a collaboration with the DentaQuest Foundation to identify and promote effective oral health interventions for older adults and people with physical disabilities. This initiative involved collaborating with partners from the dental, aging, and disability fields in order to increase knowledge regarding issues and challenges related to dental services for older adults and people with disabilities.

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for May 2016 on Medicaid and CHIP application, eligibility determination, and enrollment data. States provides data to CMS on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.

The Milbank Memorial Fund’s Reforming States Group, with the New York State Health Foundation, published an issue brief that is a practical guide for policymakers who want to know when and how states can use Medicaid to facilitate access to social services. It offers a road map of the legal authorities upon which policymakers can rely to extend Medicaid coverage to social interventions and provides examples of how Medicaid can be an important component in improving the health of populations.

This White Paper explains a proposed quality framework for managed care programs serving individuals with intellectual and/or developmental disabilities (ID/DD). The framework, developed by UnitedHealthcare's National Advisory Board, extends beyond traditional clinical measures to benchmark the quality of the "services and supports" delivered in these programs to measure how these programs address individuals' quality of life.

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for April 2016 on Medicaid and CHIP application, eligibility determination, and enrollment data. States provides data to CMS on factors related to key application, eligibility and enrollment processes using the Medicaid and CHIP Performance Indicator Project. The data is then used to inform CMS on the operations of the programs in each state and to share state performance data publicly.

ADvancing States, in consultation with the Centers for Medicare and Medicaid Services (CMS) and the Administration for Community Living (ACL) published a fact sheet regarding coordination of benefits between Older Americans Act programs and Medicaid LTSS services.

On Wednesday, June, 15, 2016, the Medicaid and CHIP Payment and Access Commission (MACPAC) released the March 2016 Report to Congress on Medicaid and CHIP. The authorizing statute of MACPAC requires the commission to submit a report to Congress by March 15 and June 15 each year. The report discusses financial and spending analyses as well as functional assessment tools that Medicaid programs use to determine eligibility and create specific care plans.

The Centers for Medicare and Medicaid Services (CMS) released a final rule in April 2016, that implements mental health parity in Medicaid, a requirement of the Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA). The National Association of Medicaid Directors (NAMD) published a comprehensive summary of the final rule.