NASHP

AUGUST 23, 2021

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. ii] Rural areas are highly likely to suffer from shortages of primary care and other providers.

Primary Care 64

Primary Care Medicaid Accountability Quality Improvement 64

NASHP

APRIL 17, 2023

Performance measurement is a pillar of state quality improvement and oversight. In addition, starting in 2024, federal rules will require states to report performance on some measures, including some behavioral health measures, to the Centers for Medicare & Medicaid Services (CMS).

Medicaid 52

Medicaid Quality Assurance Quality Improvement Quality Review 52

NASHP

MARCH 22, 2024

It includes examples from various states organized by the framework buckets: integrated primary and behavioral health care, crisis continuum of care, in-home and in-community based, and out-of-home and community.

Medicaid 52

Medicaid Integration Primary Care Nursing 52

Home Health Care

MARCH 1, 2024

Traditionally, PACE cares for dual-eligible seniors in a given community. “We We refer to them as Medicare-only. I think one of the most important things that could happen to accelerate access to PACE would be to address some legislation that we have pending on Capitol Hill, relating to the Medicare Part D prescription drug premium.

Medicaid 123

Medicaid Medicare Primary Care Quality Improvement 123

HIT Consultant

JANUARY 22, 2024

What You Should Know: – The Centers for Medicare & Medicaid Services (CMS) has taken a bold step towards improving care for individuals with both mental health conditions and substance use disorders (SUD), announcing the “ Innovation in Behavioral Health (IBH)” Model.

Medicaid 97

Medicaid Quality of Care Integration Medicare 97

NASHP

MARCH 11, 2022

State experience indicating that payment is an effective lever for improving service delivery. State officials viewed their efforts as part of broader efforts to improve behavioral health and better integrate it with primary care. " > Why Use Payment to Improve Delivery of SUD Services.

Medicaid 59

Medicaid Integration Quality Improvement Primary Care 59

NASHP

AUGUST 31, 2023

In many states, SHIPs serve as the driving mechanism for engaging health care systems and communities in statewide planning, implementation, and evaluation efforts. Oregon convened over 60 partner organizations as part of its SHIP development process and contracted with CBOs to collect community feedback.

Medicaid 52

Medicaid Accountability Public Health services Population Health 52

NASHP

DECEMBER 20, 2022

These coordinated state efforts, often formalized in governor’s task forces, cross-agency workgroups, and legislative commissions, are predicated on an ideological shift away from solely punitive responses and toward integrating treatment into the criminal legal system. Integrate peers into crisis response teams.

Medicaid 52

Medicaid Prevention Integration Hospitals 52

Sheppard Health Law

JANUARY 5, 2023

Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). This requirement would also apply to individualized plans of care for special needs plans.

Medicare 52

Medicare Primary Care Medicaid Integration 52