Medicaid

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Report to the President and Congress: The Money Follows the Person (MFP) Rebalancing Demonstration

This report presents the findings and conclusions of this national evaluation of the MFP demonstration. The MFP Rebalancing Demonstration program launched more than nine years ago. There are 44 grantee states, and as of the end of calendar year 2015, grantee states had transitioned a total of 63,337 Medicaid beneficiaries from long-term institutional care to community residences and home and community-based LTSS.

Short URL: http://www.advancingstates.org/node/69994

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Health Care Experiences of Adults with Disabilities Enrolled in Medicaid Only: Findings from a 2014-2015 Nationwide Survey of Medicaid Beneficiaries

In the Fall of 2014, the Center for Medicaid and CHIP Services (CMCS) conducted a Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey. The survey interviewed a representative sample of adults ages 18 and older enrolled in Medicaid between October 2013 through December 2013. This survey provides baseline information on the experiences of low-income adults prior to a state’s expansion of coverage to the new adult group that took effect on 1/1/2014.

Short URL: http://www.advancingstates.org/node/69992

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Advancing Medicare and Medicaid Integration: Key Program Features and Factors Driving State Investment

For individuals who receive services from both Medicare and Medicaid, care is often fragmented across a wide array of medical, behavioral health, and long-term care providers. Medicare and Medicaid offer otherwise uncoordinated systems of care with different eligibility criteria, benefits, provider networks, and enrollment processes. This issue brief describes key features of effective integrated care programs and presents top policy considerations driving state investment in these programs.

Short URL: http://www.advancingstates.org/node/69991

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Residential Information Systems Project Annual Report: Status and Trends Through 2015

This is a technical report about the supports and services that people with IDD receive through the State IDD agency. In addition to the report, there are state profiles, which describe status and trends for each state in the country, and a chart gallery, which is an interactive tool to view detailed data by state, year, and funding authority. Topics include ICF/IID and Medicaid Waiver recipients, expenditures and expenditures per person from 1977 to 2015.

Short URL: http://www.advancingstates.org/node/69945

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Examining Oral Health Care Utilization and Expenditures for Low-Income Adults

This brief analyzes dental service use and cost data for non-elderly Medicaid-enrolled adults by individual, community, and state-level factors. This brief is intended to help stakeholders identify opportunities to improve access to care and, ultimately, achieve sustainable oral health improvements for low-income adults.

Short URL: http://www.advancingstates.org/node/69939

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Bridging the Health and Housing Gap Transitioning Medicaid Recipients from Institutions to the Community in the Context of Housing Shortages and Affordability

This report reviews federal health and housing policies, noting the barriers created that seniors with clinically-driven housing insecurity must navigate. It also reviews a series of initiatives that ACAP members are undertaking to address housing as a social determinant for this vulnerable population, with examples from California, Ohio, and North Carolina.

Short URL: http://www.advancingstates.org/node/69937

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Using Medicaid Levers to Support Health Care Partnerships with Community-Based Organizations

This fact sheet outlines strategies to help Medicaid stakeholders encourage partnerships between community-based organizations and health care organizations. States can provide: (1) financial support to build and sustain program capacity; (2) assistance in identifying metrics for evaluation; (3) incentives to providers to address social determinants of health; and (4) use of policy levers, including value-based contracts, managed care organization regulations, and state plan amendments.

Short URL: http://www.advancingstates.org/node/69899

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Toward Seamless Coverage: Identifying Enrollment Gaps and Opportunities in Medicare Transitions for People with Expansion Medicaid

This new report developed by the Medicare Rights Center for the National Council on Aging shares how some states are working to ensure seamless coverage for low-income individuals transitioning from expansion Medicaid to Medicare. The report highlights promising state-specific practices that other states might adopt, as well as barriers that states will work through in their own ways, seeking the most seamless coverage possible for lower-income older adults and people with disabilities.

Short URL: http://www.advancingstates.org/node/69853

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Medicaid Section 1915(c) Waiver Data based on the CMS 372 Report, 2013 – 2014

This report from Truven Health Analytics describes section 1915(c) home and community based services waiver programs. Over 1.6 million people received section 1915(c) waiver services in 2014; this is a 5 percent increase from 1.5 million in 2013. Furthermore, the number of section 1915(c) waiver participants has increased by an average of 4 percent per year since 2009. Participants received services for an average of 10 months in 2014, as in previous years.

Short URL: http://www.advancingstates.org/node/69849

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