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State Approaches to Behavioral Health Measures in Medicaid Managed Care

NASHP

Performance measurement is a pillar of state quality improvement and oversight. In addition, starting in 2024, federal rules will require states to report performance on some measures, including some behavioral health measures, to the Centers for Medicare & Medicaid Services (CMS).

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

NASHP

Approaches include allowing family caregivers to receive Medicaid reimbursement , providing culturally competent trainings and peer supports, making respite care more accessible for caregivers, and offering behavioral health supports for caregivers. recruitment, consultation resources, Medicaid reimbursement, etc.).

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Data Strategies to Understand and Address Health Disparities

NASHP

Regardless, most experts note that striking the right balance between securing data quality and determining when data are complete enough to advance policymaking can be challenging — suggesting a continuous quality improvement approach. National efforts to standardize are useful to inform state approaches.

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State Community Health Worker Models

NASHP

The information on this map comes from a 50-state survey of a variety of stakeholders, ranging from Medicaid officials to Community Health Workers, on their states’ approaches?to?integrating?CHWs CDC Centers for Disease Control and Prevention. MHP Medicaid Health Plans. NCQA National Committee for Quality Assurance.

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Primary Care Case Management in Medicaid: A Strategy for Supporting Primary Care in Rural Areas

NASHP

Primary care case management (PCCM) programs are one of the oldest types of Medicaid managed care, but over time most states have shifted to use managed care organizations (MCOs) to deliver services to Medicaid participants. million Medicaid participants.

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About This Resource Guide: Promising Practices to Address Health Disparities

NASHP

Source: Centers for Disease Control and Prevention (CDC) Health : Health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity. Source: Institute for Healthcare Improvement Public Health : The science of protecting and improving the health of people and their communities.