- ACA Implementation & State Health Reform
- Coverage and Access
- Federal/State Issues
- Medicaid and CHIP
- Population and Public Health
- Providers and Services
- Acute Care
- Assisted Living
- Behavioral Health
- Case Management
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- Emergency Care
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- Hospitals
- Long Term Services & Supports
- Medical Homes & Health Homes
- Mental Health
- Nursing Homes
- Oral Health
- Preventive Care
- Primary Care
- Safety Net Providers
- Quality, Cost, and Health System Performance
- ACOs
- Adverse Event Reporting
- Care Transitions
- Comparative Effectiveness
- Cost Sharing
- Delivery System Reform
- Fraud and Abuse
- Health Care Workforce
- Health Information Technology
- Managed Care
- Medical Homes & Health Homes
- Medical Malpractice
- Patient Safety
- Payment Reform
- Performance Measurement
- Provider Payment Policy
- Quality Oversight
- Specific Populations
- Adolescents
- Childless Adults
- Children
- Children with Special Health Care Needs
- Dual Eligibles
- Elders
- Families
- Low Income People
- Parents
- People with Chronic Conditions
- People with Developmental Disabilities
- Transitional Youth
- Vulnerable Populations
- Young Adults
- Youth
- Youth in Foster Care System
- Youth in Juvenile Justice System
-
The Affordable Care Act and Children with Special Health Care Needs
The Affordable Care Act (ACA) provides states with some important tools that can be utilized to provide more continuous, adequate and affordable coverage for children with special health care needs (CSHCN). How the law is interpreted and whether implementation challenges are addressed with the unique needs of CSHCN in mind will shape how well the ACA fulfills its promise to this vulnerable population. This paper developed by the National Academy for State Health Policy (NASHP) for the Catalyst Center at Boston University reviews and analyzes key provisions of the ACA relevant for CSHCN and provides suggestions for state policymakers.
Download here: The Affordable Care Act and Children with Special Health Care Needs
January 2011 -
Implementing the Affordable Care Act: New Options for Medicaid Home and Community Based Services
States have significant roles in implementing practically all aspects of the Affordable Care Act. The Act gives states additional options for financing Medicaid home and community based services and supports (HCBS) through a combination of enhanced Medicaid matching payments, demonstrations, and new Medicaid state plan options. They include the State Balancing Incentive Payments Program, the Money Follows the Person Rebalancing Demonstration, State Plan HCBS, and Community First Choice Option. This issue brief analyzes the scenarios under which states might adopt them. In making those determinations, states will assess whether the new options improve upon the Medicaid authorities they currently use to finance HCBS, namely Medicaid 1915(c) HCBS waivers and state plan personal assistance.
October 2010» -
Building Adult Foster Care: What States Can Do
This study presents a summary of each state’s regulatory, licensure, and payment policies for adult foster care within its array of long term services and supports. It also examines the influence of state Nurse Practice Acts on the scope of services available in adult foster care and identifies policy considerations for state officials who are developing or expanding the availability of adult foster care.September 2009» -
Building Adult Foster Care: What States Can Do Brief
This study presents a summary of each state’s regulatory, licensure, and payment policies for adult foster care within its array of long term services and supports. It also examines the influence of state Nurse Practice Acts on the scope of services available in adult foster care and identifies policy considerations for state officials who are developing or expanding the availability of adult foster care.September 2009» -
Adult Foster Care: A Resource for Older Adults
Rising demand for a full array of service options and consumer preferences for home-like non-institutional settings is increasing the interest among state policy makers in adult foster care as a service for older adults. Although adult foster care may also serve individuals with developmental disabilities and other populations, the primary focus of this report is adults age 65 and older. State leaders are interested in the experience of states that developed adult foster care as part of their service array, trends in provider supply, regulations governing providers, and quality oversight practices. This report is based on the policies and practices in five states – Arizona, Maine, Oregon, Washington, and Wisconsin. The states were selected based on their approach to licensing and Medicaid coverage for this residential option.May 2008 -
Chronic Homelessness and High Users of Health Services: Report from a Meeting to Explore a Strategy for Reducing Medicaid Spending While Improving Care
There is evidence that homeless people, especially the chronically homeless, incur high health care costs, much of which may be paid for with Medicaid funds. There is also evidence that health care costs are reduced when homeless people with intensive medical needs enter supportive housing, which combines affordable, stable housing with care workers who assist residents in managing health, mental health, substance abuse, and employment issues. This evidence provides an opportunity for states to reduce Medicaid costs by increasing their investment in housing. In April 2007, a small group of homeless and housing advocates, state health care leaders, and managed care providers met to explore this opportunity.January 2008 -
A Medicaid Primer for Housing Officials
This primer describes the basic components of the Medicaid program. It is not a technical manual. Presented in a concise question and answer format, this document explains many of the features of what can be a complicated program. It is intended to be used to help housing agencies work with Money Follows the Person Demonstration grantees but may be useful to others who want to understand the basics of Medicaid. A joint publication of the Rutgers Center for State Health Policy and the National Academy for State Health Policy. Published for the Community Living Exchange, funded by the Centers for Medicare & Medicaid Services (CMS).September 2007 -
Ideas for Managing Costs and Improving Care Delivery for High-Cost Medicaid Beneficiaries
Chronic care is driving the cost of the Medicaid program, and the future of insurance coverage for low-income families and children depends upon success in meeting the needs of those with chronic conditions at a cost society can afford. This paper tallies the suggestions made by a group of informants who have given substantial thought to how Medicaid can achieve this goal.January 2007 -
Maintenance Allowance Fact Sheet
This fact sheet briefly explains federal rules that allow states to provide home and community-based services waivers to individuals who would be eligible for services in an institution.October 2005 -
Medicaid Financial Eligibility Fact Sheet
This fact sheet briefly describes the rules governing the way income and resources are treated in determining financial eligibility for Medicaid for low-income individuals who qualify under one of the 25 eligibility groups or categories established by law.October 2005
