Medicaid

How States Address Social Determinants of Health in Their Medicaid Contracts and Contract Guidance Documents

To encourage investments in population health, states are increasingly using levers available in their managed care and value-based contracts to address social determinants of health, such as housing and employment. With support from the Robert Wood Johnson Foundation, the National Academy for State Health Policy examined Medicaid contracts and contract guidance documents in 11 states […]

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  • Medicaid and CHIP Levers to Promote Lead Screening and Treatment: Indiana’s Experience
    Publications

    Addressing lead hazards today generates future economic benefits and improved health outcomes for children. In partnership with the Health Resources and Services Administration, NASHP is publishing a series of case studies highlighting state initiatives to promote lead screening and treatment. This study explores Indiana’s efforts to address this issue within its Medicaid and Children’s Health […]

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  • State Strategies to Incorporate Oral Health into Medicaid Payment and Delivery Models for People with Chronic Medical Conditions
    Publications

    State health policymakers know oral health is an essential component of overall health and well-being, but state Medicaid programs face increasing costs and growing demands. Many of their enrollees struggle with high-cost, chronic conditions — often linked to oral health issues. To explore possible approaches to improve oral health care, NASHP interviewed key Medicaid officials […]

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  • Three-Part Series: Improving Care for People Living with HIV: Opportunities for State Medicaid-Ryan White HIV/AIDS Program Collaboration
    Publications

    States play critical roles in ensuring that people living with HIV (PLWH) have access to quality care through their Medicaid and Ryan White HIV/AIDS programs. PLWH can be among the most medically complex individuals covered by state health programs, and their care can cost five-times more than the average Medicaid beneficiary. Given limited resources, state […]

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  • Medicaid pays a large share of treatment costs for children with behavioral health conditions. In 2011, more than 4 million children enrolled in Medicaid had a diagnosed behavioral health condition. The National Academy for State Health Policy (NASHP) has developed an informational fact sheet summarizing Medicaid provisions that cover behavioral health treatment for children. The […]

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    July 27, 2018 | Filed under: All, Behavioral Health, Children's Health, Medicaid
  • State Strategies to Prevent and Respond to Disease Crises Through Medicaid and Public Health Partnerships
    Publications

    Protecting public health in an era when infections can quickly spread from remote areas to major world cities requires creative and well-orchestrated responses from national, state, and local governments. One of the critical partnerships states can forge before, during, and after such crises is between public health and Medicaid. This report, supported by the Health […]

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  • Feds Send Mixed Responses on States’ Efforts to Control Medicaid Drug Costs

    The Centers for Medicare & Medicaid Services (CMS) had a mixed response to two states’ innovative efforts to control Medicaid drug costs in June. The agency denied Massachusetts’ 1115 waiver request to create a closed Medicaid drug formulary, but it approved Oklahoma’s State Plan Amendment that authorizes supplemental rebates for value-based purchasing arrangements with pharmaceutical […]

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    July 10, 2018 | Filed under: All, Drug Pricing, Front Page, Front Page-Rx, Medicaid
  • How State Medicaid and Title V Partnerships Improve Care for Children with Special Health Care Needs in Medicaid Managed Care

    States are increasingly utilizing Medicaid managed care (MMC) to serve children and youth with special health care needs (CYSHCN), who often require a complex array of services. Many states are finding that forging partnerships between their MMC systems and Title V CYSHCN programs improves care coordination, transitions from pediatric to adult care systems, quality of […]

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  • Apply Today: NASHP’s State SUD Policy Institute Supports States to Address SUD in Federally Qualified Health Centers
    State Health Policy Blog

    The National Academy for State Health Policy invites states to apply to participate in the State Substance Use Disorder (SUD) Policy Institute: Leveraging Federally Qualified Health Centers (FQHCs) to Address SUD. The institute, supported by a cooperative agreement with the Health Resources and Services Administration, will support up to five state teams to develop innovative […]

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  • Learn the Latest about States’ Medicaid Work Requirement Proposals
    State Health Policy Blog

    More than 30 states have proposed or are implementing work requirements, in some cases to enable Medicaid expansion. Read an update about state efforts and a recent federal court ruling on Kentucky’s waiver application. Since January, when the Centers for Medicare & Medicaid Services (CMS) announced it would allow states to require certain enrollees to […]

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    July 3, 2018 | Filed under: Front Page, Medicaid, State Health Policy Blog