Health disparities cost the United States billions of dollars in direct medical expenditures in addition to the human costs. In an effort to improve quality and contain costs states are taking steps to measure these costs and address disparities. This issue brief, which features Virginia and Rhode Island, was prepared by NASHP authors Carrie Hanlon and Larry Hinkle for the Agency for Healthcare Research and Quality (AHRQ). It focuses on tools, challenges, and strategies states use to measure the costs of health disparities.
This webinar outlines the multiple roles of the Medicaid program in the development and administration of state Health Benefit Exchanges being implemented under the Affordable Care Act (ACA). With ACA’s enactment, Medicaid has completed its transition from a program linked to welfare to a major health insurer, becoming a lynchpin of the nation’s health insurance infrastructure. 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
- Eligibility, Enrollment and Outreach;
- Health Plan Standards and Requirements;
- Benefit Package Design; and
- Infrastructure: Governance, Operations and Finance.
- Moderator: Alice Weiss, Co-Director, Maximizing Enrollment; Program Director, NASHP
- Speaker: Deborah Bachrach, Special Counsel, Manatt Health Solutions
- Federal Perspective: Victoria Wachino, Director, Children and Adults Health Programs Group, CMS
- State Perspective: Toby Douglas, Director, California Department of Health Care Services
- State Perspective: Gregg Pane, Director, Virginia Department of Medical Assistance Services
- State Perspective: Christopher Koller, Health Insurance Commissioner, State of Rhode Island
|Download Presentation Slides||1.5 MB|
No HIE Strategic Plan available yet.
The Virginia ABCD Screening Academy Project focused on assuring that young children receive necessary developmental screenings. Building on existing resources and partnerships with, among others, the state AAP Chapter, Department of Education, and Part C Early Intervention program, Virginia conducted pilot programs to promote statewide spread of the use of structured developmental screening and to promote linkages between primary care and referral resources.
Specifically, the ABCD Screening Academy activities in Virginia included:
- Developing a uniform referral/consent form to facilitate communication between the Infant & Toddler Connection early intervention program and providers; developing a list of recommended objective, validated developmental screening tools for use in EPSDT; recommending Medicaid reimbursement for the use of a maternal depression screening tool; and revising language regarding developmental screening for the SFY 2009 Medicaid managed care contracts.
- Developing and distributing a laminated referral guide for the Infant & Toddler Connection of Virginia early intervention program that expressly encourages screening using an objective, validated screening tool.
- Providing the Ages and Stages Questionnaire (ASQ) tool and training to all public health districts and developing a structured screening implementation tool kit for pilot sites and others practices wishing to adopt structured screening.
- Sustaining and spreading these improvements by promoting ABCD Stakeholders Group recommendations and guidelines for screening tool selection, adoption, and resulting referral processes statewide which will assure that programs serving families with young children are receiving uniform information about the implementation of structured developmental screening tools and guidelines.
|Infant & Toddler Connection of Virginia Referral Form||(Infant & Toddler Connection of Virginia) This is the standard referral form that was developed by Virginia in conjunction with the state’s ABCD Screening Project. The form is both HIPAA and FERPA compliant to allow for the sharing of information.||January 2013||Care Coordination and Linkages to Services and Improving Policy|
|Infant & Toddler Connection of Virginia Referral Guide||(Infant & Toddler Connection of Virginia) This guide contains information for physicians related to referrals for infants and toddlers with developmental disabilities. The guide includes information on eligibility, what prompts a referral, how referrals are made, and where to make referrals.||January 2013||Care Coordination and Linkages to Services and Improving Policy|
|Medicaid Paid Claims for Extended Developmental Testing Under 96111 Code||(Virginia ABCD Project) Chart providing visual display of claims paid under 96111 code for children birth through 5 years of age by month of service in Virginia, January 2005 through December 2007 (preliminary).||December 2008||Gauging Success: Measurement and Evaluation|
|Findings from Virginia’s 2007 Primary Care Provider Developmental Screening Survey||(Virginia ABCD Project) Summary of Findings of 2007 Provider Survey. This report summarizes results of 30 completed and returned surveys of pediatric providers that were distributed at the fall 2007 Virginia Chapter of the American Academy of Pediatrics (AAP) meeting in Williamsburg, Virginia. This survey obtained a rough assessment of the use of developmental screening practices in the community.||December 2008||Gauging Success: Measurement and Evaluation|
|Medicaid Paid Claims for Extended Developmental Testing Under 96110 Code||(Virginia ABCD Project) Chart providing visual display of claims paid under 96110 code for children birth through 5 years of age by month of service in Virginia, January 2005 through December 2007 (preliminary).||December 2008||Gauging Success: Measurement and Evaluation|
|Brochure Promoting The Infant & Toddler Connection of Virginia||(Virginia Infant and Toddler Connection) 2-page brochure aimed at providers describing the referral options provided by The Infant & Toddler Connection of Virginia, which assists families of infants and toddlers with developmental delays and/or disabilities help their children learn and develop through everyday activities and routines so that they can participate fully in family and community activities. Brochure provides information on referrals and phone numbers for Infant & Toddler Connection offices in various locations around the state.||December 2008||Spreading Results|
|Virginia’s Medicaid Paid Claims for 96110 Code for January 2005 Through April 2007||(Virginia ABCD Screening Academy Project) Two charts showing Medicaid Paid Claims for Developmental Screening For Children Birth through 5 Years of Age by Month of Service Virginia, January 2005 through April 2008, and Children with a Medicaid Paid Claim for Developmental Screening For Children Birth through Five by Age and Year of Service Virginia, Calendar Years 2005, 2006, and 2007.||July 2008||Gauging Success: Measurement and Evaluation|
|Virginia’s Medicaid Paid Claims for 96111 Code for January 2005 Through April 2008||(Virginia ABCD Screening Academy Project) Two charts showing Medicaid Paid Claims for Developmental Testing For Children Birth through 5 Years of Age by Month of Service Virginia, January 2005 through April 2008, and Children with a Medicaid Paid Claim for Extended Developmental Testing For Children Birth through Five by Age and Year of Service Virginia, Calendar Years 2005, 2006, and 2007.||July 2008||Gauging Success: Measurement and Evaluation|
|ASQ Screenings Performed at Piedmont Health Department WIC Clinic January-May 2008||Virginia ABCD Screening Academy Project (2008). Table showing data on ASQ Screenings performed at Piedmont Health Department WIC Clinic January-May 2008.||July 2008||Gauging Success: Measurement and Evaluation|
|Medicaid Paid Claims for Developmental Screening||(Virginia ABCD Project) Two charts showing Medicaid paid claims for developmental screening for children from birth through 5 years of age in Virginia for calendar years 2005 and 2006.||December 2007||Gauging Success: Measurement and Evaluation|