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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 hoping to achieve a number of goals with their MLTSS programs, including increasing access to home and community-based services, promoting care coordination, enhancing quality and beneficiary satisfaction, and mitigating cost growth. pdf On October 1, 2023, Virginia Medicaid combined its two managed care programs of Medallion 4.0

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States Build Capacity to Address Maternal Mortality through Policy Innovations

NASHP

After discussion with IDPH, Illinois Department of Healthcare and Family Services (HFS) also established a prenatal and postpartum care HEDIS (Healthcare Effectiveness Data and Information Set) measure performance improvement project for Medicaid managed care organizations (MCOs) to identify and close a health disparity gap.

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First Do No Harm

Briggs Healthcare

For example, we survey hospitals to ensure that, among other things, the facility and the doctors, nurses, and other staff have adequate qualifications, training, and experience to keep patients safe. And we hold facilities accountable when they fail to meet those standards.

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Expanding the Perinatal Workforce through Medicaid Coverage of Doula and Midwifery Services

NASHP

Monitor and evaluate quality improvement and outcomes and address barriers to care. Doulas must also be trained in compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPPA) and adult and infant CPR. Develop training, licensing, and certification guidelines and build provider capacity.

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Administration Strengthens Oversight of Nation’s Poorest-Performing Nursing Homes

Briggs Healthcare

Today’s announcement is part of a series of new actions the Biden-Harris Administration is taking to increase accountability of bad actors in the nursing home industry, improve the quality of nursing homes and make them safer. We are demanding better, because our seniors deserve better.”.

Nursing 40
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Behavioral Health System Modernization along the Continuum

NASHP

The Nurse-Family Partnership (NFP) pairs registered nurses with low-income first-time mothers during pregnancy and continues with regular home visits until the child’s second birthday. State Medicaid authorities can use the Healthy Steps Return on Investment tools to examine the program’s impact on the state budget and outcomes.

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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

Perhaps the most important is to identify specific goals and objectives early on to guide the details of design, such as the choice of quality metrics for incentive payments. In addition, it is important to build in measurement at the start and to think of state efforts as iterative — moving to tackle new priorities as performance improves.