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Learning Intensive on State Oversight of Medicaid Managed Long-Term Services and Supports for Older Adults and Adults with Disabilities: Request for State Applications

NASHP

rebalancing spending to improve access to home and community-based services, improving care transitions, or encouraging greater care coordination) Innovative oversight approaches for Medicare/Medicaid integrated models What’s In It for States?

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How We Help Medicaid & Long-Term Services and Supports

NCQA

More states are contracting with managed care organizations (MCO) to provide Medicaid long-term services and supports (LTSS). How do we know if MCOs are delivering equitable, high-quality care to people receiving LTSS? Care Transitions: Individuals receiving LTSS experience smooth and safe transitions between care settings.

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State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

States are increasingly turning to capitated Medicaid managed care programs to deliver long-term services and supports (LTSS) to individuals with complex needs. California does cover skilled nursing facility care in its MLTSS program, but most personal care services (in-home supportive services) are provided under FFS.

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Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 100
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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

On October 20, 2021, the Centers for Medicare and Medicaid (“ CMS ”) Innovation Center (“ Innovation Center ”) published a white paper detailing its vision for the next ten years: a health system that achieves equitable outcomes through high quality, affordable, person-centered care. Strategic Objective 1: Drive Accountable Care.

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Q&A: Using an Alternative Payment Model to Support Community Health Worker Sustainability in Maine’s Primary Care Plus Program

NASHP

As states are seeking sustainable financing models and partnerships that offer continued support for the CHW services beyond the COVID-19 pandemic, many are exploring Medicaid reimbursement models. APMs can apply to a specific clinical condition, a care episode, or a population.” What is an Alternative Payment Model?

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InnovAge Appoints New CEO; Axxess Beefs Up Executive Leadership Team

Home Health Care

Patrick Blair, formerly of Bayada Home Health Care, has been named president and CEO by InnovAge’s board of directors. The appointment comes after reports that Colorado’s Department of Health Care Policy and Financing and the U.S. Centers for Medicare and Medicaid Services (CMS) stopped reimbursing InnovAge for new clients.