Medicaid

How is the state of Maryland providing necessary information on Medicaid waiver programs to consumers, families, and professionals? Attached find a presentation from a 2010 training presentation as well as a case study. May be replicable by other states wanting to disseminate similar information.

Since 1988, Thomson Reuters has produced annual reports on state Medicaid spending for long-term services and supports (LTSS). One limitation to the reports has been that LTSS spending provided through Medicaid managed care programs often is not identified. This report presents estimated Federal Fiscal Year 2008 and 2009 managed care spending not included in previous LTSS expenditures reports. These estimates are based on data provided by states with managed LTSS programs.

The Medicaid program is a source for many innovative practices in making long-term services and supports (LTSS) available to consumers. Case management services have been integral to Medicaid community-based LTSS programs since their inception, but as the programs have grown and evolved the functions performed by case managers have changed. This brief describes current case management efforts in states and activities and policies that can enhance states’ efforts to help consumers.

Explore this brief for information on the main trends to emerge from the latest Medicaid expenditures and participant data for the three main Medicaid HCBS programs: (1) optional 1915(c) HCBS waivers, (2) the mandatory home health benefit, and (3) the optional state plan personal care services benefit. It also presents 2009 findings on the policies used in these three programs, including eligibility criteria, provider, service and waiting list data.

In March 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA). This historic piece of legislation presents significant opportunities to improve access to quality, affordable health care for all Americans. This is particularly true for homeless people and people at risk of homelessness, whose options for accessing physical and behavioral health care services, health promotion services, and chronic disease management programs have historically been limited.

Are MIGs assisting individuals with disabilities to become employed? This report shows the continued impact of MIG funding in 2009. One of the most visible activities has been the development of state Medicaid Buy-In programs, under which workers with significant disabilities can “buy in” to Medicaid coverage when their earnings would otherwise make them ineligible. This report updates trends in the enrollment, employment, and earnings of participants.

“The Innovation Center” is a new engine for revitalizing and sustaining the Medicare, Medicaid and CHIP programs and ultimately to help to improve the healthcare system for all Americans. The Center, established by the Affordable Care Act, was given the flexibility and resources to rapidly test innovative care and payment models and scale up successful models. Visit the website to read about new initiatives such as Partnership for Patients. There is also an area to share your own ideas.

How is the state of Alabama reaching out to consumers and employers with important information regarding help for persons with disabilities who want to work or return to work? To find out, explore several examples of state-wide outreach: two newsletters put out by "BamaWorks", Alabama's MIG program, a brochure, and a website. May be replicable by other states seeking to provide outreach for their own MIG programs.

How does the state of West Virginia evaluate the effectiveness of their MIG programs and services? Explore these exit survey results as well as corresponding conclusions and recommendations. This particular survey is mailed monthly to individuals after they leave the state's Medicaid Work Incentive Network; discover the variety of reasons.

Persons who are dually eligible for Medicare and Medicaid account for a disproportionate share of expenditures under both programs and receive services that are fragmented and inefficient. Learn about how state contracts with Medicare Special Needs Plans can be used to achieve Medicaid policy goals and advance care integration for dually eligible beneficiaries.