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CMS Medicaid Proposals Offer Transparency And Accountability, But Compensation Provision Could Cap Business For Cash-Strapped Providers

Home Health Care

Centers for Medicare & Medicaid Services (CMS) proposed a new rule that would make major changes to the way that home care workers are compensated under Medicaid. Anderson also noted that home care agencies working under Medicaid often vary in size. On Thursday, the U.S. and North Carolina. Washington, D.C.-based

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The National Imperative to Improve Nursing Home Quality

Briggs Healthcare

While many important improvements have been made since the enactment of the Omnibus Budget Reconciliation Act of 1987, the provision of high-quality comprehensive care to all nursing home residents remains an elusive goal. High-quality research is needed to advance the quality of care in nursing homes.

Nursing 52
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State Community Health Worker Models

NASHP

ACO Accountable Care Organizations. CBCM Community Based Care Management Program. PCCM Primary Care Case Management. PCMH Patient Centered Medical Home . PH-MCO Physical Health Managed Care Organization. RAE Regional Accountable Entity. Acronym Guide. APM Alternative Payment Model.

Medicaid 122
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Community Health Worker Models

NASHP

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.

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The Direct Care Workforce

NASHP

Partner with Community College Systems: Tennessee’s Medicaid agency, TennCare, worked with Tennessee’s Quality Improvement in Long Term Services and Supports (QuILTSS) Institute to develop a career and education pathway for direct care workers that allows workers to “learn and earn,” while acquiring credentials with value in the labor market.

Nursing 98
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Emerging Respite Care Strategies in Medicaid Home and Community-Based Services Waivers for Older Adults, Adults with Physical Disabilities, and their Family Caregivers

NASHP

States understand that an individual’s care plan should not be a snapshot in time, but rather malleable to account for unexpected changes in a care recipient’s life. As promulgated in Iowa’s Human Service’s regulation 441-78.3 As codified in Iowa’s Human Service’s regulation 441-78.34(13)

Medicaid 121
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Behavioral Health System Modernization along the Continuum

NASHP

In addition to funding mobile response services, Connecticut has also established a Mobile Crisis Intervention Services Performance Improvement Center (PIC) to support the collection and analysis of data, implement quality improvement activities, and support providers to enhance their clinical competencies and delivery of MCIS.