ELIGIBILITY AND ENROLLMENT
FEATURED ARTICLE
States Work to Improve Care for Children with Special Health Needs with Quality Measurement
/in Policy Michigan, New York, Texas Reports Care Coordination, Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, EPSDT, Health System Costs, Healthy Child Development, Integrated Care for Children, Long-Term Care, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Value-Based Purchasing /by Anisha Agrawal, Becky Normile and Karen VanLandeghemImproving the quality of care that children and youth with special health care needs (CYSHCN) receive is a growing priority for state Medicaid programs. However, many quality improvement efforts are in their infancy as states work to overcome the challenges of measuring and assessing care quality for this vulnerable population. NASHP, with support from the […]
State Checklist for Shutting Down CHIP Programs
/in Policy Charts CHIP, Eligibility and Enrollment, Healthy Child Development, Maternal, Child, and Adolescent Health /by NASHP StaffCongress has not provided new funding for the Children’s Health Insurance Program (CHIP), and states are beginning to run out of CHIP funds. The 42 states with separate CHIP programs will need to begin closing them in the coming weeks and months, which will be very challenging, costly, and time consuming. See NASHP’s infographic that outlines the […]
Healthy Child Development State Resource Center
/in Policy Toolkits CHIP, CHIP, Chronic Disease Prevention and Management, Eligibility and Enrollment, EPSDT, Featured Policy Home, Health Coverage and Access, Health IT/Data, Healthy Child Development, Immunization, Integrated Care for Children, Lead Screening and Treatment, Maternal, Child, and Adolescent Health, Medicaid Expansion, Medicaid Managed Care, Population Health /by NASHPNASHP Identifies State Strategies to Address Mental Health and Education Inequities
/in Policy Colorado, Connecticut, Delaware, Minnesota, Ohio Blogs Children/Youth with Special Health Care Needs, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Health Coverage and Access, Health Equity, Healthy Child Development, Integrated Care for Children, Maternal, Child, and Adolescent Health, Population Health, Social Determinants of Health /by Najeia MentionState policymakers increasingly recognize the need to address the social determinants of health — housing, employment, education, and income — to reduce health care costs and improve population health. Educational attainment, for example, provides dividends for overall health. People with higher levels of education generally live longer and experience healthier lives. The quality of education […]
Congressional Agreement on CHIP Needed Soon!
/in Policy Blogs CHIP, Eligibility and Enrollment, Healthy Child Development, Maternal, Child, and Adolescent Health /by Maureen Hensley-QuinnHow long would you drive your car with its gasoline gauge on empty when it’s full of people you care about as you speed along a highway? That was the analogy used by Children’s Health Insurance Program (CHIP) and Medicaid officials during National Academy for State Health Policy’s (NASHP) annual conference held late last month. […]
Week Three — Where Are We Now with CHIP Funding?
/in Policy Blogs CHIP, CHIP, Eligibility and Enrollment, Health Coverage and Access, Maternal, Child, and Adolescent Health /by NASHP WritersCongress missed the Sept. 30, 2017, deadline to extend federal funding for the Children’s Health Insurance Program (CHIP), so there is currently no new or guaranteed future federal support for the program that covers an estimated 9 million children. There are two proposed bills to reauthorize CHIP – the Senate’s KIDS Act of 2017 and […]
Medicaid Financing of Early Childhood Home Visiting Programs
/in Policy Webinars Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health System Costs, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Population Health /by Anisha AgrawalSuccess Spurs Growth of Medicaid Managed Care for Children with Special Health Care Needs
/in Policy Blogs Children/Youth with Special Health Care Needs, CHIP, Chronic and Complex Populations, Chronic Disease Prevention and Management, Eligibility and Enrollment, Healthy Child Development, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health /by Karen VanLandeghemTwo decades ago, the majority of state Medicaid programs that served children and youth with special health care needs (CYSHCN) relied on a traditional, fee-for-service model to pay for the complex mix of health care services that this group of children often need. But as states became more adept at designing new health care delivery […]
State Medicaid Payment Reform Strategies Promote Improved Birth Outcomes
/in Policy Oklahoma, Tennessee, Wisconsin Blogs Chronic Disease Prevention and Management, Cost, Payment, and Delivery Reform, Eligibility and Enrollment, Health Coverage and Access, Health System Costs, Healthy Child Development, Infant Mortality, Integrated Care for Children, Maternal, Child, and Adolescent Health, Medicaid Managed Care, Medicaid Managed Care, Population Health, Quality and Measurement, Value-Based Purchasing /by Derica Smith and Carrie HanlonImproving birth outcomes, including reducing infant mortality, is a priority for state Medicaid agencies that finance nearly half of all births each year. Three states have proven to be creative and effective laboratories in developing initiatives that use Medicaid payment and delivery reform strategies to lower costs, improve access to postpartum care, reward high-quality care, […]
State-Specific Medicaid Program Changes
/in Policy Arizona, Arkansas, Indiana, Kentucky, Maine, Massachusetts, Wisconsin Eligibility and Enrollment, Health Coverage and Access, Medicaid Expansion, State Insurance Marketplaces /by Anita CardwellThe following information is paired with our blog, Emerging Themes in Proposed State Medicaid Waivers. Key Pending Waiver Requests for ACA Medicaid Expansion Eligibility Groups Seeking to add work requirements as a condition of eligibility: Arizona (20 hours/week for school/job training; unspecified for employment or job search) Arkansas (80 hours/month) Indiana (Average of 20 hours/week) Kentucky […]
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