NCQA

JUNE 27, 2023

LTSS Distinction, for MCOs, and Case-Management for LTSS (CM-LTSS), for community-based organizations (CBO)— increase oversight of care for this vulnerable population. In July, NCQA will update these programs to further align with best practices and federal regulations. Why Should MCOs Earn LTSS Distinction?

Medicaid 52

Medicaid Care Transition Quality Improvement Regulations 52

Home Health Care

JANUARY 26, 2022

“Patrick is a proven and effective leader who has the board’s full support to lead InnovAge and to quickly address the issues that have arisen with CMS and our regulators in California and Colorado,” InnovAge Board Chair Andrew Cavanna said in a press release. “We Paul, Minnesota-based health care spending account (HSA) administrator.

Regulations 88

Regulations Care Transition Medicaid Medicare 88

NASHP

OCTOBER 22, 2021

In addition to a range of metrics related to promoting prevention and reducing utilization related to ambulatory care-sensitive conditions, ICSP measures have included advanced care planning, evidence of physician order for life-sustaining treatment (POLST), effective care transitions, and assessment and management of chronic pain.

Medicaid 102

Medicaid Hospice Care Integration Regulations 102

NASHP

DECEMBER 10, 2021

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. In addition, CHWs are often included in Accountable Communities for Health (ACH). Acronym Guide.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

NASHP

NOVEMBER 29, 2021

The Department of Health Care Policy and Financing (the Medicaid program administrator) does not specifically require the Regional Accountable Entities (RAEs), care coordinating entities contracted with Colorado’s Medicaid program, or other managed care entities to cover CHW services, nor does the Department pay for CHW services under FFS.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

HIT Consultant

OCTOBER 25, 2021

No matter the practice’s type or patient volume, there are so many ways things can go wrong with a fax-dependent process that is nearly impossible to standardize, has no real built-in accountability and is dependent on significant levels of coordinated communication. Increase visibility into the patient’s care coordination.

Accountability 52

Accountability Care Transition Regulations Doctors 52

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Team-Based Communication. How to Use This Guide.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52