Essential Health Benefits
FEATURED ARTICLE
A Conversation with State Officials on Medicaid Adult Dental Coverage
/in Policy Colorado, Iowa, Washington Webinars Essential Health Benefits, Health Coverage and Access, Oral Health, Safety Net Providers and Rural Health, Workforce Capacity /by NASHPOral health is an important part of overall health, however, access to dental coverage for low-income adults remains a challenge, particularly since these benefits are optional for state Medicaid programs. In this webinar, Medicaid officials from Colorado, Iowa, and Washington—three states that have recently taken action on their adult dental benefits—will share insights on important factors in the decision to add, reinstate, or introduce adult dental benefits; how adult dental benefits fits into the larger health reform discussion in each state; successes and challenges each state has faced since implementation; and future policy considerations.
Adult Dental Benefits in Medicaid: Recent Experiences from Seven States
/in Policy Reports Essential Health Benefits, Health Coverage and Access, Oral Health, Safety Net Providers and Rural Health, Workforce Capacity /by NASHP and Keerti KanchinadamOral health is an important part of overall health, however, access to dental coverage for low-income adults remains a challenge, particularly since these benefits are optional for state Medicaid programs. This brief summarizes policy lessons from seven states (California, Colorado, Illinois, Iowa, Massachusetts, Virginia, and Washington) that have recently added, reinstated, or enhanced their Medicaid […]
What Governors Are Saying About King v. Burwell
/in Policy Blogs, Charts Essential Health Benefits, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by NASHPLast week’s ruling in King v. Burwell affirmed the provision of tax-subsidies through the federally-facilitated marketplace (FFM), a decision which may have affected over 6.4 million Americans currently receiving subsidies in the 34 states that have opted for the FFM model. The ruling has asserted the place of the Affordable Care Act (ACA), with state […]
Children’s Coverage Beyond CHIP: Policy Considerations for States
/in Policy Florida, Kentucky, West Virginia Webinars CHIP, CHIP, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Maternal, Child, and Adolescent Health, Medicaid Expansion, State Insurance Marketplaces /by NASHPAlthough federal funding for the Children’s Health Insurance Program (CHIP) was recently extended through FFY2017, it is unclear if CHIP will continue beyond that date. As a result, children may need to transition to other sources of coverage in the future.
State Experiences Designing and Implementing Medicaid Delivery System Reform Incentive Payment (DSRIP) Pools
/in Policy Reports Cost, Payment, and Delivery Reform, Essential Health Benefits, Health Coverage and Access, Health System Costs, Medicaid Expansion, Medicaid Managed Care, Primary Care/Patient-Centered/Health Home, Quality and Measurement, State Insurance Marketplaces /by Neva KayeSeveral states are operating DSRIP programs through their Medicaid programs under the authority of Section 1115 demonstrations. These programs incentivize system transformation and quality improvements in hospitals and other providers serving high volumes of low-income patients. This report, prepared by NASHP staff, for the Medicaid and CHIP Payment and Access Commission (MACPAC), provides an in-depth […]
The Mental Health Parity and Equity Addictions Act Proposed Rules – a Checklist for States
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Essential Health Benefits, Health Coverage and Access, Medicaid Managed Care, Physical and Behavioral Health Integration /by NASHPState policymakers have a critical role to play in how the Mental Health Parity and Addictions Equity Act (MHPAEA) is operationalized in state programs, including Medicaid managed care organizations, alternative benefit plans, and the Children’s Health Insurance Program (CHIP). Now that CMS has released long-awaited proposed rules on implementation of the MHPAEA in these programs, […]
Cross-Systems Collaboration: Working Together to Identify and Support Children and Youth with Special Health Care Needs
/in Policy Webinars Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Eligibility and Enrollment, EPSDT, Essential Health Benefits, Health Coverage and Access, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Safety Net Providers and Rural Health /by NASHPTuesday, March 3, 2015: Multiple state agencies and organizations are working to identify and support children with special physical, emotional and developmental disabilities. Coordination and collaboration across systems, including the sharing of data, increases the ability for states to identify children at risk and ensure they are receiving the appropriate health, mental health and developmental services. This webinar features three states discussing collaborations across state programs that impact the identification and treatment of children in need of specific services.
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
State Medicaid and CHIP Strategies to Protect Coverage during COVID-19
/in COVID-19 Charts, Featured News Home CHIP, CHIP, COVID-19, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health Equity, Maternal, Child, and Adolescent Health, Population Health /by Gia Gould