Remove Care Transition Remove Medicare Remove Performance improvement Remove Quality of Care
article thumbnail

State Oversight and Innovations in Medicaid-Managed Long-Term Services and Supports (MLTSS) Serving Older Adults and People with Disabilities 

NASHP

All states, with the exception of California and Virginia, have created at least one separate MLTSS program targeted toward adults 65 and older or individuals dually eligible for Medicare and Medicaid (dual eligibles). utilization review, quality improvement, and claims) to improve communication and information sharing across teams.

article thumbnail

State Policy Considerations to Support Equitable Systems of Care for Children and Youth with Special Health Care Needs 

NASHP

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. 25] Centers for Medicare and Medicaid Services.

Medicaid 124
Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Supporting the Continuum of Care for Serious Illness in Medicaid Managed Care

NASHP

In addition to a range of metrics related to promoting prevention and reducing utilization related to ambulatory care-sensitive conditions, ICSP measures have included advanced care planning, evidence of physician order for life-sustaining treatment (POLST), effective care transitions, and assessment and management of chronic pain.

Medicaid 102
article thumbnail

How State Medicaid Programs Serve Children and Youth in Foster Care

NASHP

These specialized MMC programs are designed to exclusively serve either CYFC [27] or Medicaid populations with chronic and complex conditions, [28] including those in foster care. Standard MMC: Standard MMC is a type of health care delivery system designed to manage costs, utilization, and quality of care. MMC or FFS).