CMS

This report profiles enrollment statistics on Medicaid managed care programs on a plan-specific level. It provides national-level summary tables relating to trends, breakout of managed care entities, managed care enrollment by state, regional breakout and states with comprehensive health care reform demonstrations. The information was collected from State Medicaid agencies and CMS Regional Offices.

Washington is the first state to enter into a MOU to participate in the new managed-fee-for-service Demonstration to integrate the service delivery across primary, acute, prescription drugs, behavioral health and LTSS. This document details the principles under which CMS and the State plan to implement and operate the Demonstration. It also outlines the activities CMS and the State plan to conduct in preparation for implementation of the Demonstration and initiate the Demonstration.

This Informational Bulletin provides information on recent Department of Housing and Urban Development (HUD) actions, policies, and resources that are available to states as they continue to develop long-term service and support systems that are compliant with the Americans with Disabilities Act (ADA) and the Olmstead decision.

Today there are over 9 million Medicare-Medicaid enrollees in the United States. To provide a greater understanding of the Medicare-Medicaid enrollee population, Centers for Medicare & Medicaid Services has put together individual State profiles that examine the demographic characteristics, utilization, and spending patterns of Medicare-Medicaid enrollees and the programs that serve them in each State. Also review the National Summary Profile.

This document outlines the Department of Health and Human Services’ (HHS) approach to implementing a Federally-facilitated Exchange (FFE) in any State where a State-based Exchange is not operating. This report also provides general guidance on how states can partner with HHS to implement selected functions in an FFE, key policies organized by Exchange function, and how HHS will consult with a variety of stakeholders to implement an FFE.

Medicaid serves nearly 60 million Americans, including many with complex and high-cost health care needs. The Integrated Care Resource Center is designed to help inform States about innovative solutions for delivering coordinated health care for Medicaid’s high-need, high-cost beneficiaries, with the goal of improving the quality and reducing the costs of care.

MITA provides a common framework for all Medicaid stakeholders to focus on opportunities to build common and shared services by decoupling legacy systems and processes, and liberating data previously stored and contained in inaccessible silos. The newest version takes into account new legislative requirements outlined in the Health Information Technology for Economic and Clinical Health Act, the Children's Health Insurance Program Reauthorization Act, and the Affordable Care Act.

Have you seen the new site sponsored by CMS? This space offers a resource center for states, up to date information about the affordable care act and additional federal policy guidance. The waiver section organizes information by state, program name, waiver authority and status of a application. This chart gives an overview of the four primary types of waivers and demonstration projects: Section 1115, Section 1915(b) Managed Care, Section 1915(c) HCBS, and Concurrent Section 1915(b) and 1915(c).

On February 22, 2012, the Centers for Medicare & Medicaid Services (CMS) put on display at the Federal Register a final rule that establishes a process to promote State & Federal transparency for Medicaid & Children’s Health Insurance Program (CHIP) demonstrations. The rule is designed to ensure public input in the development, review, & approval of Medicaid and CHIP demonstration projects under section 1115 of the Social Security Act. The final rule will be effective starting April 27, 2012.

This site offers a wealth of information for anyone seeking clarification about the Balancing Incentive Program. It also provides numerous resources States will find useful when pursuing the benefits offered by the Program, including: The Program Application; The Implementation Manual; A user-friendly Work Plan; A user-friendly CSA/CDS crosswalk; Frequently Asked Questions; Webinars; Additional resources on the web; and beyond.