Publications

Since the publication of the third edition of Medicaid Managed Care: A Guide for States in 1997, Medicaid managed care has continued its rapid expansion – both in enrollment and complexity. These changes and the growing sophistication of states, plans, advocates, and consumers hae raised new challenges for states. This Guide is designed to identify […]

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  • Publications

    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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    November 1, 1998 | Filed under: Children's Health, Medicaid, Oral Health, Publications
  • Publications

    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

    An Analysis of State Plans Submitted to the Health Care Financing Administration by March 1, 1998 In an effort to insure health coverage for millions more low-income children through the recently enacted Children’s Health Insurance Program, states have begun to submit plans for federal review. A NASHP analysis of the eighteen state plans submitted by […]

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    March 1, 1998 | Filed under: Publications
  • Publications

    In the first session of the 105th Congress, the State Children’s Health Insurance Program (CHIP) was enacted as part of the Balanced Budget Act of 1997. CHIP is a federal -state program, authorized for 10 years and funded for 5, granting states up to 48 billion dollars to provide “child health assistance” to children who […]

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    January 1, 1998 | Filed under: Publications
  • Publications

    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

    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

    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

    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