Medicaid

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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  • 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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  • State Health Policy Blog

    Many states are developing and implementing strategies for integrating behavioral health with primary care. Integrated care improves patients’ access to behavioral health services, attendance at scheduled appointments, satisfaction with care, and adherence to treatment. Minority populations in particular are more likely to seek mental health treatment from primary care practitioners than from mental health specialists. […]

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    August 29, 2014 | Filed under: Behavioral Health, Medicaid, State Health Policy Blog
  • Webinars

    Tuesday, September 9, 2014: Care coordination provides a bridge across multiple systems that serve children and families, helping to ensure that a child receives additional screening, diagnosis and/or treatment as recommended by a health care practitioner. Care coordination strategies can help link providers and care settings by facilitating the arrangement of: appointments, referral forms, transportation, reminders and follow-up, and feedback reporting. This NASHP webinar provides a federal perspective from the Centers for Medicare & Medicaid Services on opportunities and promising strategies for states to coordinate care for children and adolescents enrolled in Medicaid.

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    August 25, 2014 | Filed under: Care Coordination, Children's Health, Medicaid, Webinars
  • Webinars

    Thursday, July 24, 2014: This NASHP webinar provides a federal perspective from the Centers for Medicare & Medicaid Services on how states can leverage the Medicaid benefit for children and adolescents (also known as EPSDT) to meet the treatment needs of children. This is followed by a conversation with presenters from Colorado and Washington about treatment services under the EPSDT benefit and their processes for determining service coverage.

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    July 10, 2014 | Filed under: Children's Health, Medicaid, Webinars
  • Publications

    Maine was one of six states selected to participate in NASHP’s Medicaid-Safety Net Learning Collaborative. NASHP helped organize a series of web trainings for Maine’s health centers on using the Consumer Assessment for Healthcare Providers and Systems (CAHPS) patient satisfaction survey for quality improvement and staff training. CAHPS is being used in the state’s expansion […]

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    May 14, 2014 | Filed under: Medicaid, Primary Care and Medical Homes, Publications
  • Webinars

    Wednesday, May 21, 2014: This NASHP webinar offers a federal perspective from the Centers for Medicare & Medicaid Services on opportunities and promising strategies for states to leverage the Medicaid benefit for children and adolescents to better engage and meet the needs of adolescents. This is followed by a conversation with presenters from two states about initiatives they have launched to better serve adolescents using the Medicaid benefit for children. Participants learn about these states’ strategies for getting Medicaid-enrolled adolescents the services they need, and key lessons learned in implementing them.

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    May 2, 2014 | Filed under: Children's Health, Medicaid, Webinars