Long Term and Chronic Care

As states transform their health systems, many are turning to community health workers (CHWs) to improve health outcomes and access to care, address social determinants of health, and help control costs of care. While state definitions vary, CHWs are typically frontline workers who are trusted members of and/or have a unique and intimate understanding of […]

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  • Smart Homes, Smart Health: Technologies that Empower Independence

    Tuesday, October 24th 10:00AM-11:30AM Smart home technologies have the potential to improve community living for individuals with disabilities and older adults. At this session, officials explain how these technologies help increase independence, monitor health, lower costs, and improve health outcomes. A smart home researcher provides an overview of these resources and state officials discuss use […]

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  • Preconference: State Innovations and Interventions in America’s Opioid Crisis

    Monday, October 23rd 8:00AM-4:00PM This preconference forum is where state policymakers can learn about emerging issues and other states’ experiences in preventing and treating opioid use disorder. The sessions explore how states are working to: Identify and address social causes of opioid use disorder; Support best practices to manage chronic pain; Meet the unique needs […]

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  • The State of State Health Policy: Governors’ 2017 State of the State Addresses

    State of the State speeches provide governors with an opportunity to highlight recent policy successes as well as outline key plans and issue areas of focus for the coming year. These speeches are generally strong indicators of governors’ main priorities and sometimes also include specific proposal suggestions and funding recommendations for deliberation by legislatures. Currently, […]

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  • Publications

    Chronic Pain Management Therapies in Medicaid: Policy Considerations for Non-Pharmacological Alternatives to Opioids

    Although most Medicaid agencies cover services that can be used as alternatives to opioids for pain management, significantly fewer states have policies or procedures in place to encourage their use. Between March and June 2016, the National Academy for State Health Policy (NASHP) conducted a survey of all 51 Medicaid agencies to determine the extent […]

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    September 2, 2016 | Filed under: Front Page, Long Term and Chronic Care, Medicaid, Publications

  • Publications

    Strategies for Coordination Between Medicaid and Ryan White HIV/AIDS Programs

    State Medicaid programs are the primary source of health coverage for the majority of people living with HIV/AIDS (PLWHA) in the U.S. Coordination between Medicaid and Ryan White HIV/AIDS Programs (RWHAP) is integral to ensuring that PLWHA have access to comprehensive care. NASHP interviewed Medicaid and RWHAP officials in 14 states about successful coordination efforts. […]

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  • Publications

    Developing and Implementing the Section 2703 Health Home State Option: State Strategies to Address Key Issues

    The health home state option provides an enticing opportunity for states to better coordinate care for Medicaid enrollees with serious mental illness or chronic health issues. This NASHP report identifies strategies from the first four states with approved state plan amendments (MO, NY, OR, and RI) to address five key considerations that states will likely […]

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  • Webinars

    Implementing Section 2703 Health Homes: Lessons from Leading States

    Section 2703 of the Affordable Care Act provides states with an enticing opportunity to provide health homes for chronically ill Medicaid enrollees. States are able to draw an enhanced federal match to integrate primary care with behavioral health and long-term services and supports for two years.  Join Melinda Abrams of The Commonwealth Fund and state […]

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  • Publications

    Trends in Serving People with HIV/AIDS through Medicaid Managed Care

    This report compares 1996 and 1998 survey data on states serving people with HIV/AIDS through risk-based Medicaid managed care. Looking at trends since 1996 is important because of the emergence of combination therapy – in which people take several drugs (including at least one protease inhibitor) to decrease their amount of active HIV – which […]

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    May 31, 2012 | Filed under: Long Term and Chronic Care, Medicaid, Publications

  • Publications

    Directory of Risk Based Medicaid Managed Care Programs Serving Elderly People or People with Disabilities

    As of December 1998, 37 states (including the District of Columbia) reported enrolling people who are elderly and/or have disabilities into risk-based Medicaid managed care programs. While some states have enrolled these two populations only in specialty, carve-out programs, most are now serving the elderly and disabled through comprehensive programs. This Directory provides a snapshot […]

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    May 31, 2012 | Filed under: Long Term and Chronic Care, Medicaid, Publications