Medicaid

Poor oral health can have a profound impact on both the short- and long-term health of an individual. Left untreated, extensive tooth decay and the resulting pain and infection can cause eating, learning, and speech problems in children. Each year, oral problems are responsible for children missing almost 52 million school hours. In adults, studies […]

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  • 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

  • Publications

    Outreach, Marketing, Enrollment and Disenrollment Policies in Medicaid Managed Care: A Summary of a 1996 Survey of Medicaid Agencies

    The focus of this paper is on enrollment and disenrollment policy and practice in Medicaid managed care. Specifically, this paper examines policies and practices in risk-based programs with attention to Primary Care Case Management (PCCM) program policies only as they specifically interact with risk-based enrollment policies. In risk-based managed care, a Medicaid agency contracts with […]

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    December 2, 1997 | Filed under: Eligibility and Enrollment, Medicaid, Publications

  • Publications

    The Lay of the Land: What Program Managers Need to Know to Serve People With HIV/AIDS In Medicaid Managed Care

    This report will help state officials, advocates and consumers implement risk-based Medicaid managed care programs that meet the health care needs of people with HIV/ AIDS in cost-effective ways. 1997.May_.program.managers.serve_.hiv_.aids_.medicaid.managed.care_.pdf 3.2 MB  

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    May 1, 1997 | Filed under: Long Term and Chronic Care, Medicaid, Publications

  • Publications

    Medicaid Financial Eligibility for Aged, Blind and Disabled: Survey of State Use of Selected Options

    States were asked about three optional eligibility categories that can qualify an individual for coverage of nursing facility services. States were asked only about financial (income and asset) eligibility criteria or standards; all states have other nursing facility coverage criteria concerning physical/functional status which this survey did not address. 1997.May_.medicaid.financial.eligibility.aged_.blind_.disabled.survey.pdf 524.3 KB  

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    May 1, 1997 | Filed under: Medicaid, Publications

  • Publications

    Enrollment and Disenrollment in Medicaid Managed Care Program Management

    How do Medicaid managed care program managers use enrollment and disenrollment information to manage their programs? What does a low disenrollment rate imply about health plan (and enrollment broker) performance? Are people who select a health plan less likely to disenroll than those who are assigned to a plan? What elements of an enrollment system […]

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    December 1, 1996 | Filed under: Eligibility and Enrollment, Medicaid, Publications