article thumbnail

Learning Intensive on State Oversight of Medicaid Managed Long-Term Services and Supports for Older Adults and Adults with Disabilities: Request for State Applications

NASHP

rebalancing spending to improve access to home and community-based services, improving care transitions, or encouraging greater care coordination) Innovative oversight approaches for Medicare/Medicaid integrated models What’s In It for States?

article thumbnail

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

States are increasingly turning to capitated Medicaid managed care programs to deliver long-term services and supports (LTSS) to individuals with complex needs. California does cover skilled nursing facility care in its MLTSS program, but most personal care services (in-home supportive services) are provided under FFS.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

How We Help Medicaid & Long-Term Services and Supports

NCQA

More states are contracting with managed care organizations (MCO) to provide Medicaid long-term services and supports (LTSS). How do we know if MCOs are delivering equitable, high-quality care to people receiving LTSS? Care Transitions: Individuals receiving LTSS experience smooth and safe transitions between care settings.

article thumbnail

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 102
article thumbnail

CMS: Hospital-To-Home Discharge Process Still Plagued By Poor Communication, Incomplete Patient Information

Home Health Care

Patient transitions from the hospital to post-acute care providers, including home health agencies, continue to be plagued by incomplete medical records and missing information. Gaps in post-acute care transitions are so common, in fact, that the U.S.

article thumbnail

How A Home Health Provider Slashed Its Readmission Rate By Nearly Half

Home Health Care

At-Home Health Care — Sparta Community Hospital’s home health segment — has made successful care transitions a priority in an effort to lower rehospitalizations and ER visits. Sparta Community Hospital is located in Southern Illinois and is a 25-bed full-service acute care medical facility.

article thumbnail

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 2: Advance Health Equity.