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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. The goal of the PCPlus initiative is to provide primary care practices with more flexibility in care delivery while reducing inefficiencies.

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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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Why The End of the Public Health Emergency is Everyone’s Problem

HIT Consultant

Under the PHE, states must keep Medicaid enrollees continuously covered, irrespective of their circumstances. . The goal of the PHE was to help low-income people receive appropriate preventive and primary care during the pandemic without disruptions in coverage.

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State Community Health Worker Models

NASHP

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs integrating?CHWs ACO Accountable Care Organizations. MCO Managed Care Organizations. MCE Managed Care Entities.

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Community Health Worker Models

NASHP

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Medicaid Reimbursement. Medicaid Reimbursement.

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How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

How State Medicaid Programs Serve Children and Youth in Foster Care May 17, 2022 / Veronnica Thompson. Children and youth in foster care (CYFC) often benefit from targeted services and supports. Yet, many receive fragmented or limited access to care, contributing to higher rates of unmet health needs. [1]

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State Maternal Mortality Review Committees Address Substance Use Disorder and Mental Health to Improve Maternal Health

NASHP

Nearly every state that reviews pregnancy-related deaths has recommendations focusing on: Ensuring adequate insurance coverage and payment, Increasing early identification and referrals, Ensuring referrals and follow-up care, and/or. Expand Medicaid coverage for postpartum women. Increasing access to specific services.