Medicaid

Medicaid is the major public payer of community services and supports for working age adults with serious mental illnesses. This handbook explains how existing Medicaid options and waivers are used by states to finance a broad range of community services and supports for adults with serious mental illnesses, and demonstrates what aspects of state-of-the art community services and supports for this population are funded by Medicaid.

This paper from NGA includes a number of potential short-run policy changes as well as long-run structural changes to improve the US health care system. The policies outlined do not represent comprehensive reform but instead 5 linking objectives: Reforming Medicaid; Enhancing Quality & Reducing Costs in the Overall Health Care System; Strengthening Employer-Based & Other Forms of Private Health Care Coverage; Slowing the Growth of Medicaid LTC; State Contribution to the Medicare Drug Benefit.

This policy brief is one of five commissioned by the Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation on Medicaid eligibility policies for long-term care benefits. This brief describes the procedures used by the state of Massachusetts in the administration of its Medicaid Estate Recovery program, with a focus on the procedures used by the State in imposing Medicaid liens on real property.

This policy brief is one of five commissioned by the Dept of Health & Human Services, , and presents the fundamentals of Medicaid liens -- what they are, why they are permitted, and how they are applied by state Medicaid programs. Liens are a tool that states may use to ensure their right to recover past Medicaid spending on the property owner’s behalf when he or she, or certain close relatives, no longer needs the property.

This policy brief is one of five commissioned by the Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation on Medicaid eligibility policies for long-term care benefits. This brief outlines the Medicaid rules that affect community spouses of nursing home residents and widows or widowers of deceased nursing home residents.

This policy brief is one of five commissioned by the Dept of Health & Human Services, and provides an overview of state Medicaid Estate Recovery programs, which enable states to recoup public spending for Medicaid long-term care recipients from the estates of those recipients after their death.

This policy brief is one of five commissioned by the Dept of Health & Human Services and provides a synopsis of how the home is treated in determining Medicaid eligibility for recipients of long-term care services and the circumstances under which Medicaid may recover spending from equity held in real property. Broad flexibility is conferred on states to implement generic Federal Medicaid rules, resulting in considerable variations in how homes are treated in specific circumstances.

Financing long-term care for the nearly 10 million Americans who need services and supports to assist them in life’s daily activities continues to challenge the nation. While Medicaid is the nation’s major source of financing for long-term care services, paying for over 40% of total long-term care, its role is not well understood. Misperceptions on who qualifies and what is covered are common. The Kaiser Commission on Medicaid and the Uninsured Q & A’s outlines basic information on Medicaid.

Medicaid funding can play a critical role in meeting the needs of children with emotional disturbances and adults with mental illnesses. This paper provides information regarding recent state activities and trends in developing and revising the Rehab Option; relates to service coverage, agency and practitioner requirements, rates and coding, and management of services; and offers steps that states and other interested parties should consider when “updating” their Rehab Option. Brief: Vol 3 Iss 2

This memorandum presents state-by-state data on Medicaid long term care expenditures in Federal Fiscal Year 2004 (October 2003 through September 2004). The accompanying tables present data on Medicaid Expenditures for Long-Term Care services from 1992 to 2004. A new table this year shows the effect of supplemental nursing facility payments in some states on expenditure data. A separate file ranks states based on the proportion of LTC spending for community services.