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

NASHP

SEPTEMBER 20, 2022

State health policies help to shape these services through legislation, funding, and regulation. Some states are exploring whether to repurpose sections of the homes while others are trying to identify how to sustain payments while improving quality of care. With a projected population of adults age 65+ to reach 80.8

Medicaid 93

Medicaid Nursing Regulations Care Transition 93

NASHP

MARCH 29, 2024

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. HHSC Uniform Managed Care Manual.” [30]

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

NASHP

OCTOBER 22, 2021

In addition to a range of metrics related to promoting prevention and reducing utilization related to ambulatory care-sensitive conditions, ICSP measures have included advanced care planning, evidence of physician order for life-sustaining treatment (POLST), effective care transitions, and assessment and management of chronic pain.

Medicaid 102

Medicaid Hospice Care Integration Regulations 102

NASHP

JUNE 22, 2022

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.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52