Medicaid

Many individuals involved in the criminal justice system are now eligible for Medicaid in states that expanded the Medicaid program under the Affordable Care Act. Health coverage can provide individuals who are leaving incarceration with access to physical and behavioral health services critical to their successful reentry into the community. In some states, correctional agencies have partnered with Medicaid agencies to implement procedures to begin the Medicaid application process as individuals are nearing their incarceration release dates. This webinar features three states—Colorado, New Mexico and Wisconsin—that have initiated efforts to enroll justice-involved individuals in health coverage.

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  • State Health Policy Blog

    States are developing new ways to pay Medicaid providers based on quality and efficiency over number of visits. However, these payment options can present challenges for states in integrating safety net providers into their efforts. In Oregon, Medicaid and the state’s Primary Care Association (PCA) have embarked on an alternative payment model that is breaking […]

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    September 14, 2015 | Filed under: Medicaid, State Health Policy Blog
  • Publications

    One of the central elements of the Affordable Care Act (ACA) is to establish “one-stop shopping” through health insurance marketplaces allowing consumers to find and access affordable, high-quality health coverage either through private health insurance, and the subsidies available for those who qualify, or through Medicaid. The ACA and related regulations define a spectrum of marketplace […]

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  • Last month, as part of an Academy Health Annual Research Meeting panel on the 50th anniversary of Medicaid, NASHP Executive Director Trish Riley gave remarks on the history of the program, as well as addressed where it is heading and the long-term relationship between Medicaid and the states. Read the entire speech here.  

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    July 21, 2015 | Filed under: All, Medicaid, News & Media, Press Release
  • On May 26, the Centers for Medicare & Medicaid Services (CMS) released a notice of proposed rule making (NPRM) that, once adopted as final regulation, represents the first major update to the rules governing Medicaid managed care since 2002. Since this time, Medicaid managed care has expanded in both scope and nature, with a considerable […]

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  • Publications

    Several states are operating DSRIP programs through their Medicaid programs under the authority of Section 1115 demonstrations. These programs incentivize system transformation and quality improvements in hospitals and other providers serving high volumes of low-income patients. This report, prepared by NASHP staff, for the Medicaid and CHIP Payment and Access Commission (MACPAC), provides an in-depth […]

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    June 1, 2015 | Filed under: Delivery System Reform, Medicaid, Publications
  • State Health Policy Blog

    Okay, maybe as a California colleague suggests, it’s one of the “boutique states” and yes, its single payer plan stumbled, but don’t take your eyes off Vermont. Vermont is at work to hold down costs and reform payment and delivery systems. The Green Mountain Care Board (GMCB) is engaged in comprehensive efforts to control health […]

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  • Medicaid Adult Dental Coverage

    Medicaid and CHIP programs are required to offer children’s dental benefits, but coverage of adult dental services is optional for state Medicaid programs. While adult dental coverage is frequently reduced or eliminated when states are faced with fiscal pressures, several states have revisited those decisions. Ensuring coverage for adult dental services in Medicaid can provide […]

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    April 20, 2015 | Filed under: Medicaid, Oral Health
  • This map highlights the extent of overlap in 2015 between issuers offering managed care plans in a state’s separate Children’s Health Insurance Program (CHIP) and those offering plans in health insurance marketplaces. This map updates a 2014 map showing data from the first year marketplace coverage was available. Plans offered by the same issuer in […]

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    March 10, 2015 | Filed under: Benefit Continuity, Benefits Analysis, Brokers, Care Coordination Efforts, Care Coordination Financing, Change Management, Chronically Ill, Churning, Community Benefit, Community Health, Community Health Workers, Complaints, Consumer Assistance/Navigators, Consumer Input, Consumer Operated and Oriented Plan (CO-OP), Continuity of Care, Cultural Competency, Data Sharing Agreements, Delivery System Benchmarks, Disproportionate Share Hospital (DSH), Early and Periodic Screening, Diagnostic, and Treatment (EPSDT), Elderly, Electronic Eligibility Verification, Electronic Health Records, Eligibility Categories, Eligibility Decision Consistency, Eligibility Documentation, Eligibility Simplification, Eligibility System Specifications, Engaging Underserved, Essential Health Benefits, Exchange, Exchange Establishment Grants, Exchange Federal-State Partnership, Exchange Financing, Exchange Functionality Testing, Exchange Governance, Exchange IT, Exchange Legal Authority, Exchange Outreach and Education, Exchange Plan Benefit Design, Exchange Plan Rating Systems, Exchange Plan Selection, Exchange Policy Decisions, Exchange Program Integration, Exchange Program Integrity, Exchange Provider Network Standards, Exchange Public Website, Exchange Regulations/Guidance, Exchange Stakeholder Input, Exchange Workplans/Timelines, Federal Data Reporting Requirements, Federal Exchange, Federal Grants, Federal Oversight, Financing and Program Integrity, Fiscal Analysis, Grants and Contracts, Health Literacy, Health Reform Coordination Lead, HIE Data Collection/Reporting, Home and Community-Based Care, Immigrants, Implementation Plan, Implementation Websites, Individual Market, Inmates, Insurance Legislation, Insurance Outreach and Education, Insurance Statutory/Regulatory Analysis, Internal/External Review, IT Assessments, Language/Disability Application Access, Legislative Review, Licensing and Certification, Linking Population and Individual Health, Long Term Services and Supports, Market Conduct, Meaningful Use, Medicaid, Medicaid Benchmark Coverage, Medicaid Benefits, Medicaid Management Information Systems (MMIS), Medicaid Preventive Services, Medicaid Reimbursement, Medical Loss Ratio, Men, Mental Health and Substance Abuse, Modified Adjusted Gross Income (MAGI), Multi-Sector Payment Reform, Non-Payment, Nurses, Online Applications, Open Enrollment, Outreach Planning/Materials, Parents, Patient Navigators, People with Disabilities, People with HIV/AIDS, Performance Outcomes Measurement, Population Health Data, Population Health Goals, Populations, Pre-Existing Conditions, Presentations and Announcements, Prevention, Primary Care Case Management, Programs, Provider Education, Providers and Medical Services, Public Comment, Public Reporting, Quality and Efficiency Priorities, Quality Measures, Quality Progress Reporting, Quality Strategies, Rate Review, Reinsurance, Renewal Simplification, Report, Reporting Requirements, Risk Adjustment, Safety Net Financing, Scope of Practice, Shared Services Enrollment Systems, Small Business Health Insurance Options Program (SHOP) Enrollment, Small Employers, Small Group Size, Social Determinants of Health, Specialists, Staffing/Resources, Stakeholder Communication, Stakeholder Engagement, State Health Reform Laws, State Health Reform Regulations, State Innovation Models, Statewide Data Reporting Requirements, Tax Credit Eligibility, Workforce Capacity, Working Materials
  • Publications

    Oregon has taken significant steps to transform its health care and early education systems. Recognizing that good health is a key component of ensuring children enter school ready to succeed, Oregon is now aligning the two systems with the ultimate goal of improving kindergarten readiness. This report, supported by the Build Initiative, describes Oregon’s approach […]

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