NCQA

JUNE 28, 2024

The Centers for Medicare & Medicaid Services (CMS) recently announced two major updates to Medicaid regulations. This blog will delve into their significance and key policy implications for states and managed care organizations (MCO). Implement a Quality Rating System (QRS). Th is is required for MCOs and p repaid h ealth p lans.

Medicaid 59

Medicaid Regulations Care Transition Primary Care 59

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. Team-Based Communication. How to Use This Guide.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52

NASHP

AUGUST 5, 2024

Authority refers to the section of Medicaid regulations that the state used for the SPA. Eligible primary care practices must engage CHWs starting in 2024. The Massachusetts primary care sub-capitation model was launched in 2023 by MassHealth (Medicaid) as part of its broader ACO system.

Medicaid 52

Medicaid Primary Care Prevention Accountability 52

NASHP

DECEMBER 10, 2021

integrating?CHWs CHWs into evolving health care systems in key areas such as financing, education and training, certification , and state definitions, roles and scope of practice. PCCM Primary Care Case Management. PH-MCO Physical Health Managed Care Organization. MHP Medicaid Health Plans.

Medicaid 122

Medicaid Primary Care Prevention Nursing 122

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