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How We Help Medicaid & Long-Term Services and Supports

NCQA

Service Coordination and Monitoring: “MCOs did not adequately coordinate or monitor beneficiaries’ quality of care.” Measuring and Improving Performance: Organizations perform continuous quality improvement of their LTSS program and identify actionable steps to improve care for their members.

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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

To enhance their data monitoring and oversight capabilities, several states noted the advantages of having a data dashboard to help identify patterns, trends, and areas for improvement. The state uses these data to identify gaps in care and develop performance improvement activities to address quality problems and disparities in access.

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State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 124
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National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN) Implementation Guide

NASHP

Shared Plan of Care. Care Coordination Workforce. Care Transitions. health plans, providers, families of CYSHCN) in using, adapting, and implementing the National Care Coordination Standards for CYSHCN to develop or improve care coordination systems. Financing care coordination systems.

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Aligning Quality Measures with the National Care Coordination Standards for Children and Youth with Special Health Care Needs (CYSHCN)

NASHP

Comprehensive quality measurement of care coordination services is essential to evaluate and guide care coordination efforts, yet little agreement exists among stakeholders about how to best measure the provision and quality of care coordination services. [4] Care Transitions. Score – 12).

Doctors 52
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Centers for Medicare and Medicaid Innovation Center: Equity and Vision

Sheppard Health Law

Innovation Center models can define success as encouraging lasting transformation and a broader array of quality investments, rather than focusing solely on each individual model’s cost and quality improvements.