Medicaid

Q&A: How Massachusetts Uses Its Medicaid IMD Waiver to Improve Substance Use Disorder Treatment

In 2016, only 3.8 million of the 21 million Americans with substance use disorder (SUD) received treatment. As the opioid crisis persists, states have been working to identify new SUD treatment approaches, but the Medicaid Institutions for Mental Diseases (IMD) exclusion has historically put certain residential health care facilities out of reach for many Medicaid […]

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  • State Health Policy Blog
    States Take Administrative Actions to Curb Medicaid Drug Costs

    States Take Administrative Actions to Curb Medicaid Drug Costs

    During the 2018 legislative session, 28 states passed 45 laws to curb the rising cost of prescription drugs. In addition to legislative solutions, states are taking administrative action to better manage state spending on Medicaid pharmacy benefits. Ohio, West Virginia, and Vermont offer examples of states taking innovative administrative approaches to rein in drug costs. […]

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  • State Health Policy Blog
    Federal Housing Policy Developments Could Affect State Health and Housing Programs

    Federal Housing Policy Developments Could Affect State Health and Housing Programs

    Peggy Bailey is director of the Health Integration Project at the Center on Budget and Policy Priorities and Amy Clary is a senior policy associate at NASHP. States use a range of policy levers to address the roughly 80 percent of factors affecting health that are outside the realm of clinical care, such as access […]

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  • State Health Policy Blog
    Health Coverage and Human Service Program Eligibility: Considerations for States Weighing Systems Integration

    Health Coverage and Human Service Program Eligibility: Considerations for States Weighing Systems Integration

    Should states integrate their health insurance and human services eligibility and enrollment systems? Some state officials are weighing this question now that their revamped, Affordable Care Act (ACA) health coverage systems have been operational for several years and most of the early, initial glitches have been repaired. However, there are multiple factors to consider, some […]

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  • State Health Policy Blog
    Federal Proposal Broadens “Public Charge” Definition for Immigrants: What Are the Implications for States?

    Federal Proposal Broadens “Public Charge” Definition for Immigrants: What Are the Implications for States?

    The Department of Homeland Security (DHS) recently released a proposed rule to change public charge determination policies. Currently, the immigration status of individuals can be affected and individuals can be denied lawful permanent residence if they are determined to be a “public charge” based on their enrollment in cash assistance programs, such as Temporary Assistance […]

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    September 25, 2018 | Filed under: Front Page, Immigrants, Medicaid, State Health Policy Blog

  • Publications
    State Strategies to Meet the Needs of Young Children and Families Affected by the Opioid Crisis

    State Strategies to Meet the Needs of Young Children and Families Affected by the Opioid Crisis

    The opioid epidemic continues to have devastating consequences for children and families across the country, with growing social and financial implications for states. The National Academy for State Health Policy (NASHP), in partnership with the Alliance for Early Success, interviewed Kentucky, New Hampshire, and Virginia officials representing state Medicaid, child welfare, and behavioral health programs […]

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  • State Health Policy Blog
    Oklahoma Signs the Nation’s First State Medicaid Value-Based Contracts for Rx Drugs

    Oklahoma Signs the Nation’s First State Medicaid Value-Based Contracts for Rx Drugs

    On the heels of Oklahoma’s first-in-the-nation, value-based purchasing deal to improve adherence to an antipsychotic drug, the state’s Medicaid agency just signed its second value-based contract for a prescription drug used to treat serious bacterial skin infections. While several private insurers have initiated value-based contracting, which links payments to a drug’s effectiveness and outcome, Oklahoma […]

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  • Publications
    State Levers to Promote Lead Screening and Treatment: Rhode Island’s Strategies

    State Levers to Promote Lead Screening and Treatment: Rhode Island’s Strategies

    Addressing lead hazards today generates future economic benefits and improved health outcomes for children. In partnership with the Health Resources and Services Administration, the National Academy for State Health Policy is publishing a series of case studies highlighting effective state initiatives to promote lead screening and treatment. This study explores how Rhode Island has used […]

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

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

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

    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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