- 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
- Child Development Services
- Chronic Care Management
- Community Health Centers
- Developmental Screening
- Early Childhood Services
- EPSDT
- Family Planning
- Federally Qualified Health Centers
- Home & Community Based Services
- 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
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NASHP Report: Health IT, Quality Reporting and Medicaid Well Child Benefits: An Assessment of Progress and Potential in the District of Columbia
Recent developments indicate the emergence of a national framework for quality oversight and improvement in children’s health. Concurrently, investment in health information technology and exchange is creating state HIT/HIE infrastructure based on EHR-driven clinical data capacity. This report, commissioned by the United States District Court for the District of Columbia, details the opportunities available to the District of Columbia – and potentially other states as well - to use this emerging quality framework and HIT/HIE infrastructure to enhance the quality and oversight of Medicaid EPSDT benefits.
July 2011» -
Medicaid and CHIP Children's Healthcare Quality Measures: What States Use and What They Want
This article, written by NASHP Managing Director Catherine Hess and former NASHP Program Director Sarah deLone, draws from responses to NASHP’s Charting CHIP IV survey, supported by the David and Lucile Packard Foundation, and from analytic work supported by the Agency for Healthcare Research and Quality (AHRQ) to inform AHRQ’s Children’s Healthcare Quality Measures Subcommittee. The article is published in the CHIPRA Supplement of Academic Pediatrics (Volume 11, No. 3S, May-June 2011).
Medicaid and CHIP Children's Healthcare Quality Measures: What States Use and What They Want
May 2011 -
Developing Federally Qualified Health Centers into Community Networks to Improve State Primary Care Delivery Systems
By fostering connections between federally qualified health centers (FQHCs) and other private primary care providers, states may be able to connect Medicaid beneficiaries with services needed to help them manage their health and reduce costly visits to hospitals. FQHCs’ mandate to provide a comprehensive scope of primary and preventive health care and support services, coupled with access to federal funds, gives them expertise and resources that might be leveraged in collaborative relationships with states and private practices. FQHCs may find many advantages in these partnerships as well.
May 2011» -
Medicaid's Role in the Health Benefit Exchange: A Road Map for States
State Medicaid programs are well positioned to serve multiple roles in the development and administration of state Health Benefit Exchanges being implemented under the Affordable Care Act (ACA). Looking ahead to 2014, Medicaid will be both an option in the continuum of health insurance coverage and an essential partner in developing, governing, and operating each state’s new health benefit exchange. This paper highlights opportunities for states to support and expand Medicaid’s current role in planning new state Exchanges in eligibility, enrollment and outreach; health plan standards and requirements; benefit package design; and infrastructure: governance, operations and finance.
March 2011» -
Service Delivery Policies: Findings from a Survey of Juvenile Justice and Medicaid Policies Affecting Children in the Juvenile Justice System
NASHP, with the support of the John D. and Catherine T. MacArthur Foundation, is working with Models for Change grantee organizations and state policymakers to address the health needs of youth in the juvenile justice system. This issue brief from NASHP is the final in a series that highlights findings from surveys of juvenile justice and Medicaid agencies in order to determine policies around health care and Medicaid for youth involved in the juvenile justice system. The paper focuses on findings related to service delivery and continuity of care policies for juvenile justice-involved youth.August 2010» -
Electronic Enrollment of Newborns into Medicaid: Insights from Oklahoma
This issue brief highlights the state of Oklahoma, which recently implemented an electronic enrollment system for newborn children in its hospitals. By replacing a paper-based enrollment process with an electronic system, Oklahoma has been able to improve efficiency and program analysis, streamline billing, facilitate the establishment of medical homes, and reduce administrative costs.June 2010» -
Managing the "T" in EPSDT Services
The Early Periodic Screening, Diagnosis, and Treatment (EPSDT) program is the child health component of Medicaid. Despite EPSDT’s broad benefits, studies and state policymakers’ experience suggest that not all children are receiving the services to which they are entitled. While many stakeholders understand the requirements that define EPSDT well child visits (commonly called screening visits) and their importance to supporting and promoting child health, the requirements that define EPSDT coverage for treatment (the “T” in EPSDT) are not as well understood. This brief explores states efforts and opportunities to improve access to treatment services in EPSDT.June 2010» -
Reimbursing Medical Providers for Preventive Oral Health Services: State Policy Options
Tooth decay, while highly preventable, is the most common chronic disease among children, and it disproportionately affects children from families with low incomes. Many state Medicaid agencies are working to increase children’s access to preventive oral health services by reimbursing primary care medical providers for fluoride varnish application, an oral examination or screening, and/or caregiver education about establishing good oral health habits. This report is intended to help states considering adopting similar policies; it draws from the experiences of Iowa, Minnesota, North Carolina, Utah and Washington to describe some of the major elements of policy design and implementation, as well as lessons learned associated with medical provider reimbursement.February 2010» -
Maximizing Enrollment for Kids: Results from a Diagnostic Assessment of Enrollment and Retention in Eight States
Maximizing Enrollment for Kids, a $15 million initiative of the Robert Wood Johnson Foundation (RWJF) launched in June 2008 and directed by the National Academy for State Health Policy (NASHP), aims to increase enrollment and retention of eligible children into Medicaid and CHIP programs and to establish and promote best practices among states. In this first year of the Maximizing Enrollment for Kids program NASHP collaborated with Health Management Associates (HMA) to conduct a baseline assessment of each grantee states’ policies and processes for enrolling and retaining children in coverage. The findings of these assessments provide a foundation for the work of these states over the next three years to improve enrollment of eligible children.
February 2010 -
Improving EPSDT Periodicity Schedules to Promote Healthy Development
Medicaid’s Early and Periodic Screening, Diagnosis and Treatment (EPSDT) benefit is comprehensively designed to promote children’s healthy development. EPSDT includes outreach, comprehensive well-child visits (referred to as EPSDT screens), treatment and case management. In recent years states have recognized that it is important to identify and treat developmental delays early in a child’s life. EPSDT screens are designed to identify any physical, developmental, oral or mental health condition a child may have, as well as provide parents (and adolescents) with information to help them promote the child’s optimal development. This State Health Policy Briefing summarizes findings from a review of state websites and an informal survey of state EPSDT Coordinators designed to identify the extent to which states were revising EPSDT schedules to adopt improved standards of care.October 2009»
