Long Term and Chronic Care

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

  • Publications

    State Assisted Living Policy: 1998

    This study reviewed the assisted living and board-and-care policies in each of the 50 states. States reported a total of 28,131 licensed facilities with 612,063 units or beds. Over 25% of the beds are lcoated in three states: California (123,238), Florida (66,298), and Pennsylvania (62,241). Twenty-two states have existing licensing regulations using the term assisted […]

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    May 24, 2012 | Filed under: Long Term and Chronic Care, Publications

  • Publications

    State Assisted Living Policy: 1996

    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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    May 17, 2012 | Filed under: Long Term and Chronic Care, Publications

  • Publications

    A Framework for the Development of Managed Care Contracting Specifications for Dually Eligible Adults

    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

    Look Before You Leap Assuring the Quality of Care of Managed Care Programs Serving Older Persons and Persons with Disabilities

    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

    Managed Care for Dually Eligible Beneficiaries: Key Program Design Choices for States

    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

    Managed Care, Medicaid and the Elderly: The Florida Experience

    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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