Long Term and Chronic Care

One of a series of issue briefs designed to share with federal and state policymakers, as well as other stakeholders, the issues and options raised by the Making Medicaid Work for the 21st Century workgroup. This brief discusses ways to improve long-term services and supports. mmw_longterm.pdf 196.5 KB

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  • Publications

    Single Entry Point Systems: State Survey Results

    The Rutgers Center for State Health Policy/NASHP Community Living Exchange Collaborative conducted a survey of the 50 states to identify states that operate single entry point (SEP) systems and to identify the characteristics of SEPs. A single entry point is defined as a system that enables consumers to access long term and supportive services through […]

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  • Publications

    Care Coordination for People with Chronic Conditions

    This paper explores the components of care coordination and a sample of state initiatives that bridge the health and supportive systems. care_coordination.pdf 341.3 KB  

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  • Publications

    Coordinating Care for the Chronically Ill: How Do We Get There from Here?

    This paper, a product of the National Academy for State Health Policy’s Flood Tide Forum series, is designed to identify innovative strategies to improve care coordination for the chronically ill. It reviews data on the incidence and costs of chronic conditions, summarizes the literature on care coordination, and highlights state programs. care_coordination_forum.pdf 434.6 KB  

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  • Publications

    Building Nursing Home Transition into a Balanced Long Term Care System: The Washington Model

    This brief summarizes one aspect of the state of Washington’s mature and balanced long-term care system – a successful effort to identify and assist nursing home residents to relocate to community settings. CLE_washington_model.pdf 105.7 KB  

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  • Publications

    Medically Needy Individuals Fact Sheet

    This fact sheet briefly describes the process for determining Medicaid eligibility for individuals whose income exceeds a state’s regular Medicaid eligibility levels, but meet medically needy guidelines. Prepared for the Community Living Exchange Collaborative.   Medically Needy Fact Sheet 1005.1 KB  

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  • Publications

    Money Follows the Person Toolbox

    The Toolbox synthesizes information available from multiple sources about nursing home transition and Money Follows the Person initiatives. It is intended to help states prepare for the MFP Demonstration program created by the Deficit Reduction Act (DRA). It summarizes the state of the field in MFP design components such as identifying consumers, planning and implementing […]

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  • Publications

    Money Follows the Person Demonstration: Covering Case Management Services

    The Centers for Medicare and Medicaid Services awarded Money Follows the Person demonstration grants to 31 states in 2007. This brief describes the options for covering case management or transition coordination for these projects and describes the potential impact of pending changes to case management coverage resulting from the Deficit Reduction Act of 2005.   […]

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  • Long Term & Chronic Care

    Persons who require assistance with daily activities over the long term due to disability or chronic health conditions often have complex needs that must be addressed by multiple providers and delivery systems. NASHP’s work in long term services and supports is aimed at assisting state policymakers to assess their current systems and  advance reforms in […]

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    February 10, 2009 | Filed under: Long Term and Chronic Care

  • Publications

    Emerging Practices and Policy in Medicaid Managed Care for People with HIV/AIDS: Case Studies of Six Programs

    As treatment strategies for HIV/AIDS undergo rapid change, states struggle with the dual challenges of providing quality health care and containing costs. By June 1996, in an effort to meet those challenges, 35 states (including the District of Columbia) reported enrolling at least some people living with HIV/AIDS (PLWHIV) in their risk-based Medicaid managed care […]

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    August 1, 1998 | Filed under: Long Term and Chronic Care, Medicaid, Publications