Long Term and Chronic Care

Although most Medicaid agencies cover services that can be used as alternatives to opioids for pain management, significantly fewer states have policies or procedures in place to encourage their use. Between March and June 2016, the National Academy for State Health Policy (NASHP) conducted a survey of all 51 Medicaid agencies to determine the extent […]

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  • Publications

    Federal and state policymakers are faced with the challenge of integrating services to address both the physical and behavioral health needs of the population. This brief summarizes key lessons and opportunities for federal and state alignment that surfaced during a meeting supported by The Commonwealth Fund of high-level federal and state leaders. Several case studies […]

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  • Publications

    State Medicaid programs are the primary source of health coverage for the majority of people living with HIV/AIDS (PLWHA) in the U.S. Coordination between Medicaid and Ryan White HIV/AIDS Programs (RWHAP) is integral to ensuring that PLWHA have access to comprehensive care. NASHP interviewed Medicaid and RWHAP officials in 14 states about successful coordination efforts. […]

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  • Publications

    The health home state option provides an enticing opportunity for states to better coordinate care for Medicaid enrollees with serious mental illness or chronic health issues. This NASHP report identifies strategies from the first four states with approved state plan amendments (MO, NY, OR, and RI) to address five key considerations that states will likely […]

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  • Webinars

    Section 2703 of the Affordable Care Act provides states with an enticing opportunity to provide health homes for chronically ill Medicaid enrollees. States are able to draw an enhanced federal match to integrate primary care with behavioral health and long-term services and supports for two years.  Join Melinda Abrams of The Commonwealth Fund and state […]

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  • Publications

    This report compares 1996 and 1998 survey data on states serving people with HIV/AIDS through risk-based Medicaid managed care. Looking at trends since 1996 is important because of the emergence of combination therapy – in which people take several drugs (including at least one protease inhibitor) to decrease their amount of active HIV – which […]

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    May 31, 2012 | Filed under: Long Term and Chronic Care, Medicaid, Publications
  • Publications

    As of December 1998, 37 states (including the District of Columbia) reported enrolling people who are elderly and/or have disabilities into risk-based Medicaid managed care programs. While some states have enrolled these two populations only in specialty, carve-out programs, most are now serving the elderly and disabled through comprehensive programs. This Directory provides a snapshot […]

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    May 31, 2012 | Filed under: Long Term and Chronic Care, Medicaid, Publications
  • Publications

    This study reviewed the assisted living and board-and-care policies in each of the 50 states. States reported a total of 28,131 licensed facilities with 612,063 units or beds. Over 25% of the beds are lcoated in three states: California (123,238), Florida (66,298), and Pennsylvania (62,241). Twenty-two states have existing licensing regulations using the term assisted […]

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    May 24, 2012 | Filed under: Long Term and Chronic Care, Publications
  • Publications

    This study reviewed the assisted living and board and care policies in each of the 50 states. Fifteen states have existing licensure regulations for assisted living facilities. Regulations are being developed by an additional nine states. Twenty two states reimburse, or plan to reimburse, assisted living as a Medicaid service including states that do not […]

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    May 17, 2012 | Filed under: Long Term and Chronic Care, Publications
  • Publications

    A growing number of states are planning or implementing risk-based managed care programs for dually eligible adults: those who are eligible for both Medicaid and Medicare. The design of these programs is vastly more complicated than those previously implemented for AFDC beneficiaries. Eligibility for Medicare is one complicating factor, and the diversity of the target […]

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    May 16, 2012 | Filed under: Long Term and Chronic Care, Medicaid, Publications