NCQA

JUNE 28, 2024

NCQA LTSS Distinction standards require MCOs t o identi fy individuals who might be susceptible to unplanned care transitions, which may entail reassessing the service plan. (S The Managed Care Rule affects Medicaid and Children’s Health Insurance Program enrollees, and requires states to: Adopt Appointment Wait Time s.

Medicaid 59

Medicaid Regulations Care Transition Primary Care 59

NASHP

MAY 17, 2022

In response to the growing recognition of the value of investing in strategies that better serve children in or at-risk of out-of-home placement, a number of federal initiatives have emerged, resulting in significant changes to child welfare and spurring renewed efforts to better integrate care across child-serving systems. [5]

Medicaid 64

Medicaid Integration Medicare Primary Care 64

Sheppard Health Law

OCTOBER 27, 2021

Strategic Objective 1: Drive Accountable Care. The National Academy of Medicine reported that high-quality primary care forms the foundation of a high-functioning health system and is key to improving the experience of patients and care teams, as well as population health, and reducing costs. [1] FOOTNOTES. [1]

Medicaid 52

Medicaid Medicare Accountable Care Accountability 52

NASHP

AUGUST 5, 2024

Maine’s Primary Care Plus Initiative (PCPlus) is an alternative payment model (APM) through MaineCare, Maine’s Medicaid program, that provides a higher per-member per-month (PMPM) rate for a whole-person care approach that includes care delivery requirements such as care coordination, health and oral screenings, and care transition.

Medicaid 52

Medicaid Primary Care Prevention Accountability 52

NASHP

NOVEMBER 29, 2021

This map highlights state activity to integrate CHWs into evolving health care systems in key areas such as financing, education and training, certification, and state definitions, roles and scope of practice. Idaho reimburses for CHW services through its Medicaid managed care (Primary Care Case Management) program.

Medicaid 52

Medicaid Primary Care Prevention Nursing 52

NASHP

AUGUST 9, 2021

The Substance Abuse and Mental Health Services Administration (SAMHSA) recommends screening pregnant women for SUD in multiple settings, including the emergency department, OB/GYN visits, primary care visits, and well-child visits. [15] SBIRT) [22] in multiple health settings, including emergency rooms and pediatric primary care.

Medicaid 52

Medicaid Prevention Primary Care Hospitals 52

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. Primary care clinical goal (dated).

Care Transition 52

Care Transition Medicaid Doctors Regulations 52