Affordable Care Act (ACA)

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Medicaid & CHIP: May 2016 Monthly Applications, Eligibility Determinations, and Enrollment Report

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.

Short URL: http://www.advancingstates.org/node/68278

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Medicaid & CHIP: April 2016 Monthly Applications, Eligibility Determinations, and Enrollment Report

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.

Short URL: http://www.advancingstates.org/node/68112

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Key Consumer Provisions in the Dual Demonstrations: Findings from a Survey of ACAP Plans

The Association for Community Affiliated Plans (ACAP) and Community Catalyst released an issue brief regarding the Financial Alignment Demonstrations. This issue brief discusses key findings from research on the demonstrations and proposes recommendations in two areas: operational or practice changes for health plans and program adjustments for policymakers.

Short URL: http://www.advancingstates.org/node/68088

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Analysis of Rehabilitation and Habilitation Benefits in Qualified Health Plans

A new report is available from the American Occupational Therapy Association (AOTA) which reviews the rehabilitation and habilitation benefits available in Qualified Health Plans (QHPs) available on the Affordable Care Act’s Marketplaces. The report reviews 724 QHP’s offered on the marketplace across all metal levels. It examines the degree to which the plans cover various therapies and the effect deductibles and co-payments had on the therapies.

Short URL: http://www.advancingstates.org/node/68028

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MACPAC June 2016 Report to Congress

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.

Short URL: http://www.advancingstates.org/node/68001

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Medicaid & CHIP: March 2016 Monthly Applications, Eligibility Determinations, and Enrollment Report

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for March 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.

Short URL: http://www.advancingstates.org/node/67884

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Policy and Research Needs to Maximize Independence and Support Community Living: Workshop Summary

On October 6, 2015, a public workshop was convened by the Institute of Medicine and the Division of Behavioral and Social Sciences and Education to learn about the supports that are needed for community living and maximizing independence. The National Academies of Sciences, Engineering, and Medicine published a summary of the workshop that includes the policy and research that is needed to support independent living in the community.

Short URL: http://www.advancingstates.org/node/67819

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Medicaid & CHIP: February 2016 Monthly Applications, Eligibility Determinations, and Enrollment Report

The Centers for Medicare & Medicaid Services (CMS) released their monthly report for February 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.

Short URL: http://www.advancingstates.org/node/67797

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Implementation Dates

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). This document contains a table that serves as a reference guide to the implementation dates for provisions in the final rule.

Short URL: http://www.advancingstates.org/node/67760

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Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Improving the Quality of Care for Medicaid Beneficiaries

On April 21, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a final rule on managed care in Medicaid and the Children’s Health Insurance Program (CHIP). The final rule enhances transparency in Medicaid and CHIP managed care, supports states in contracting with health plans that offer higher-value care, improves consumer and stakeholder engagement, and, where feasible, aligns quality measurement and improvement in Medicaid and CHIP managed care with other systems of care.

Short URL: http://www.advancingstates.org/node/67759

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