ELIGIBILITY AND ENROLLMENT
FEATURED ARTICLE
Medicaid Agencies Implement Innovative Outreach Strategies: Lessons from Kentucky and Virginia
/in COVID-19 State Action Center Kentucky, Virginia Blogs, Featured News Home CHIP, CHIP, COVID-19, Eligibility and Enrollment, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Maternal, Child, and Adolescent Health, Population Health /by Gia GouldAs the pandemic continues and more individuals lose jobs and health insurance, the demand for Medicaid and Children’s Health Insurance Program (CHIP) coverage is rising. Kentucky and Virginia – stripped of their traditional, in-person enrollment strategies – have adapted their outreach efforts to help make enrollment as easy as possible for adults and children to […]
States Are Increasing their Use of Medicaid Managed Care for Children and Youth with Special Health Care Needs
/in Medicaid Managed Care Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health, Program Design, Special Populations and Services /by Olivia Randi and Kate HonsbergerA new, 50-state analysis of Medicaid managed care programs by the National Academy for State Health Policy (NASHP) shows that in the past three years, state Medicaid managed care (MMC) programs have: Enrolled more children and youth with special health care needs (CYSHCN); Provided more services to them through managed care; and Launched more specialized […]
Toolkit: National Standards for Children and Youth with Special Health Care Needs
/in Policy Toolkits Behavioral/Mental Health and SUD, Care Coordination, Children/Youth with Special Health Care Needs, Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Featured Policy Home, Health Coverage and Access, Health Equity, Health IT/Data, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Quality and Measurement, Social Determinants of Health /by NASHP StaffThe National Standards for Systems of Care for Children and Youth with Special Health Care Needs (CYSHCN) define the core components of a comprehensive, coordinated, and family-centered system of care for CYSHCN.
State Strategies to Promote Children’s Preventive Services
/in Policy Charts, Maps Children/Youth with Special Health Care Needs, CHIP, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Healthy Child Development, Integrated Care for Children, Integrated for Pregnant/Parenting Women, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by NASHP WritersHow the President’s Proposed FFY 2021 Budget Would Impact Critical State Health Programs
/in Policy Blogs, Featured News Home Behavioral/Mental Health and SUD, CHIP, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, HIV/AIDS, Housing and Health, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Population Health, Safety Net Providers and Rural Health /by NASHP StaffThe President’s budget request for federal fiscal year (FFY) 2021 proposes a 10 percent reduction in the Department of Health and Human Services’ (HHS) budget. A signature piece of the budget features the President’s Health Reform Vision, which includes $844 billion in cuts over 10 years to implement the Administration’s efforts to provide “better care […]
All 50 States and Washington, D.C. CHIP Fact Sheets for all years
/in Policy CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by adminAll of the CHIP Fact Sheets published are listed below in Adobe Acrobat PDF format. Either right mouse click and choose Save As.. or click on the link and save in Adobe Acrobat when the document opens. ALL 50 2014 CHIP State Fact Sheets ALL 50 2016 CHIP State Fact Sheets Alabama 2019 CHIP Fact Sheet 2016 […]
State Medicaid Strategies to Promote Early Identification and Treatment of Pregnant Women with Substance Use Disorder
/in Policy Featured News Home, Reports Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Eligibility and Enrollment, Essential Health Benefits, Health Coverage and Access, Health Equity, Health IT/Data, Infant Mortality, Integrated for Pregnant/Parenting Women, Maternal Health and Mortality, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Safety Net Providers and Rural Health /by Carrie Hanlon, Taylor Platt, Eddy Fernandez and Lyndsay SanbornStates face rapidly rising rates of substance use disorder (SUD) and overdoses among pregnant women and increases in maternal deaths and poor birth outcomes, such as neonatal abstinence syndrome (NAS) and neonatal opioid withdrawal syndrome (NOWS).[1] To understand how states promote early identification of SUD and treatment access for pregnant women, the National Academy for […]
Medicaid Incentives, Performance Measures, and Workforce Innovations Foster Access to Pediatric Oral Health Care
/in Medicaid Managed Care Featured News Home, Reports Child Oral Health, CHIP, CHIP, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Essential Health Benefits, Health Coverage and Access, Health IT/Data, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Oral Health, Population Health, Program Design, Safety Net Providers and Rural Health, Special Populations and Services, Workforce Capacity /by Carrie Hanlon and Malka BerroWhile state policymakers across the country grapple with oral health care access challenges, California, Pennsylvania, and Connecticut are incentivizing their Medicaid plans and providers to deliver pediatric oral health services in innovative ways, with a special focus on community-based solutions. Under its Medicaid section 1115 waiver, California incentivizes dental care coordination by community health workers […]
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
Highlights of CMS’s Proposed Rule on Eligibility Determination, Enrollment, and Renewals
/in Health Coverage and Access, Policy Blogs, Featured News Home CHIP, Eligibility and Enrollment /by Anita Cardwell