Long Term and Chronic Care

This study reviewed the assisted living and board and care policies in each of the 50 states. Fifteen states have existing licensure regulations for assisted living facilities. Regulations are being developed by an additional nine states. Twenty two states reimburse, or plan to reimburse, assisted living as a Medicaid service including states that do not […]

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  • Publications

    A growing number of states are planning or implementing risk-based managed care programs for dually eligible adults: those who are eligible for both Medicaid and Medicare. The design of these programs is vastly more complicated than those previously implemented for AFDC beneficiaries. Eligibility for Medicare is one complicating factor, and the diversity of the target […]

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    May 16, 2012 | Filed under: Long Term and Chronic Care, Medicaid, Publications
  • Publications

    Spurred by the success they perceive in managed care for women and children, states are turning to managed care delivery systems for older persons and persons with disabilities who qualify for Medicaid if they receive supplemental security income (SS1) payments or are determined to be eligible as medically needy. 1996.Sep_.assuring.quality.care_.managed.care_.older_.disabilities.pdf 1.5 MB  

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  • Publications

    This is the third and final in a series of papers on dual eligibility supported by The Pew Charitable Trusts, with additional support from The Henry ]. Kaiser Family Foundation, Center for Vulnerable Populations. The first paper, Managiiig Care for Older Beneficiaries of Medicaid and Medicare: Prospects and Pitfalls (September, 1994), describes the fragmentation of […]

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  • Publications

    Increasingly, states are turning to managed care to deliver health services to Medicaid recipients. In a 1994 survey of states conducted by the National Academy for State Health Policy, 16 states reported that they enroll elders in Medicaid managed care programs. A few states (Arizona, Minnesota, Oregon, Tennessee, Utah) require mandatory enrollment and others allow […]

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  • Publications

    The purpose of this document is to summarize the current state-of-the-art in managed care for the elderly and to provide states with background information needed to launch their own initiatives to provide quality, cost effective care to the rapidly aging population. As you will see, attempts to truly coordinate primary, preventive, acute, and long term […]

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  • Publications

    Major Issues and Selected Initiatives Interest in managed care for older persons and persons with disabilities has intensified in recent years, as states and the federal government have searched for ways to make publicly funded programs more effective and less costly. The heightened interest has stimulated a lively debate among consumers, policy makers, advocates and […]

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  • Publications

    Medicaid today pays for 41% of the nation’s long term care bill. Most of that spending (85%) is on institutions. As the Congress grapples with efforts to reduce Federal expenditures and balance the budget, the Medicaid program and its investment in long term care are particularly vulnerable to cuts. Indeed, Medicaid comprises nearly half of […]

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  • Publications

    Report 1 in a Series of State Case Studies Arizona began providing acute care services to Medicaid eligible residents in 1982 through the Arizona Health Care Cost Containment System (AHCCCS), a Section 1115 Research and Demonstraction Waiver demonstration program approved by the US Health Care Financing Administration (HCFA). Long term care services were covered under […]

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  • Publications

    This paper reflects the conversations and considerations of a focus group of 18 individuals representing persons with disabilities and their advocates and State and Federal officials. Convened to review the National Academy for State Health Policy’s recent publication, A Guide to Federal Programs for People With Disabilities, the group was invited to muse about how […]

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