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). Ensure Payment Adequacy for HCBS Direct Care Workers.

Medicaid 59

Medicaid Regulations Care Transition Primary Care 59

NCQA

JUNE 27, 2023

More states are contracting with managed care organizations (MCO) to provide Medicaid long-term services and supports (LTSS). How do we know if MCOs are delivering equitable, high-quality care to people receiving LTSS? In July, NCQA will update these programs to further align with best practices and federal regulations.

Medicaid 52

Medicaid Care Transition Quality Improvement Regulations 52

NASHP

OCTOBER 22, 2021

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care October 25, 2021 / by Salom Teshale, Kitty Purington, Wendy Fox-Grage, and Mia Antezzo. Comprehensive care coordination. billion on chronic obstructive pulmonary disease (COPD) per year. Assessment and management of pain and other symptoms.

Medicaid 102

Medicaid Hospice Care Regulations Integration 102

NASHP

SEPTEMBER 20, 2022

State health policies help to shape these services through legislation, funding, and regulation. One aspect of the project includes evaluating Medicaid data to analyze if the services offered to people differ based on race or ethnicity. Michigan created a health equity project to increase the use of HCBS.

Medicaid 93

Medicaid Nursing Regulations Care Transition 93

NASHP

MARCH 29, 2024

5 Compared to white, non-Hispanic CYSHCN, CYSHCN who are Black or Latinx are at particular risk of receiving infrequent, low-quality care, 6 while American Indian and Alaska Native CYSHCN are less likely to be able to access specialty treatment or receive culturally sensitive services.

Medicaid 124

Medicaid Quality of Care Quality Assurance Nursing 124

NASHP

JUNE 22, 2022

Shared Plan of Care. Care Coordination Workforce. Care Transitions. public health, Medicaid, mental health) and other stakeholders (e.g., Assessing care coordination system capacity, gaps, and process improvements. Financing care coordination systems. State Medicaid agencies.

Care Transition 52

Care Transition Medicaid Doctors Regulations 52