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

Briggs Healthcare

APRIL 7, 2022

“Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. The 1986 Institute of Medicine report Improving the Quality of Care in Nursing Homes identified a range of challenges to the quality of care in nursing homes.

Nursing 52

Nursing Quality of Care Quality Assurance Home Care 52

NASHP

OCTOBER 20, 2022

High-quality, integrated care requires strong system-level partnerships, information and data sharing, and family-centered practices. In spite of these barriers, and to help address them, states have implemented innovations to improve integrated care coordination for CYSHCN. Leveraging Data and Technology.

Medicaid 98

Medicaid Integration Quality Improvement Accountability 98

NASHP

DECEMBER 23, 2022

Monitor and evaluate quality improvement and outcomes and address barriers to care. Trainings must include community-based and cultural competency for delivering person-centered care and facilitating access to community-based resources. Monitor and Evaluate Quality Improvement and Outcomes and Address Barriers to Care.

Medicaid 57

Medicaid Nursing Regulations Hospitals 57

NASHP

MARCH 22, 2024

North Carolina’s InCK program , led by Duke University and the University of North Carolina at Chapel Hill, brings together partners from Medicaid, behavioral health, child welfare, juvenile justice, education, Title V, mobile crisis, and more to coordinate care and address the health and social needs of children in five counties.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Sheppard Health Law

NOVEMBER 13, 2023

Enhance Guardrails for Agent and Broker Compensation Over the last few years, CMS has issued new regulations and subregulatory guidance intended to address abusive marketing practices by third party marketing organizations (“TPMOs”) that sell MA and Part D plans.

Medicare 59

Medicare Medicaid Regulations Integration 59

NASHP

JUNE 22, 2022

This section of the guide outlines considerations, examples, and resources for: Identifying stakeholders and establishing partnerships across care coordination and child-serving systems. Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. Academic institutions.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52