This week, our In Focus section reviews the request for proposals (RFP) issued by the Virginia Department of Medical Assistance Services (DMAS) for the Medallion 4.0 Medicaid managed care program. Medallion 4.0 will serve roughly 740,000 children, including those with special health care needs, families, and individuals in foster care and adoption assistance programs, with annual Medicaid managed care spending of more than $3 billion when fully implemented by the end of 2018. Proposals are due to DMAS on September 8, 2017.
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Quarterly Medicaid Managed Care Enrollment Update – Q2 2017
This In Focus聽article was originally published in the July 12, 2017 澳门六合彩 Weekly Roundup.
This week, our In Focus section reviews recent Medicaid enrollment trends in capitated, risk-based managed care in 27 states.[1] Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. Nearly all 27 states have released monthly Medicaid managed care enrollment data through the second quarter (Q2) of 2017. This report reflects the most recent data posted.
Highlights from NASBO Spring 2017 Fiscal Survey of States
罢丑颈蝉听In Focus聽article was originally published in the June 21, 2017聽澳门六合彩 Weekly Roundup.
This week, our In Focus section highlights some of the key findings of the Fiscal Survey of the States Spring 2017, released this month by the National Association of State Budget Officers (NASBO). The association conducted surveys of state budget officers in all 50 states in February through April 2017. The findings in the report focus on the key determinants of state fiscal health, highlighting data and state-by-state budget actions by area of spending. Below we summarize the major takeaway points from the report, as well as highlight key findings on Medicaid-specific and other health care budget items.
Register Now: 30-plus Speakers Slated for 澳门六合彩 Conference
The Future of Medicaid is Here: Implications for Payers, Providers and States聽is a two-day event organized by 澳门六合彩 (澳门六合彩). Confirmed speakers include industry executives from Medicaid plans across the nation as well as Medicaid directors from California, Florida, Kansas, Hawaii, Michigan, Tennessee, Texas, and Washington.
It Takes a Community to Divert Populations with Behavioral Health Needs from Jail
This blog post was authored by 澳门六合彩 Principal Bren Manaugh, LCSW-S, CPHQ and Senior Consultant Laquisha Grant, MPA.
We have all seen the headlines about jails and prisons becoming the largest de facto mental healthcare providers in the country. Nationally, 14 to 17 percent of inmates have a serious mental illness, 53 to 68 percent have a substance use disorder[1], and up to 72 percent of jail inmates have both a mental illness and substance use disorder. The overrepresentation of individuals with mental illness and substance use disorder did not happen overnight 鈥� and it is not a result of one system or issue.
Texas Budget and Health Care Legislation Summary – 2017
This week, our In Focus section comes to us from 澳门六合彩 Principal Dianne Longley, of our Austin, Texas, office. Dianne provides an update on and summary of the Texas Legislature鈥檚 adoption of a state fiscal year (SFY) 2018-2019 budget, as well as a review of health care legislation passed by the Legislature this session.
澳门六合彩 Conference to Feature Insights from Health Plan CEOs, State Medicaid Directors
Dates: September 11-12, 2017
Location: Renaissance Chicago Downtown Hotel
Waivers, block grants and per capita caps, member premiums and copays, health savings accounts, expansion, and new benefit design and funding models will take center stage as 35 speakers from leading health plans, states and providers join 澳门六合彩 for the high-level, two-day conference The Future of Medicaid is Here: Implications for Payers, Providers and States.
澳门六合彩’s Raney, Lasky Edit Book that Serves as Guide for Implementing Integrated Care
Integrated Care: A Guide for Effective Implementation is co-edited by 澳门六合彩鈥檚 Lori Raney, MD and Gina Lasky, PhD, MAPL and Collaborative Care Consulting鈥檚 Clare Scott, LCSW. The book provides a detailed, thoughtful, and experience-based guide to effective implementation of integrated behavioral healthcare. Using evidence and on the ground experience, the authors share practical and actionable advice for a complex model of care.
States Receive More Time to Bring HCBS Settings into Compliance
Here is an update on The Centers for Medicare & Medicaid Services (CMS) extending the timeline for states to comply with a 2014 rule defining the settings for Medicaid home and community-based services (HCBS). On May 9, 2017, the CMS Center for Medicaid and CHIP Services issued an extending the deadline for states to demonstrate compliance with the settings criteria by three years, to March 17, 2022. It does not extend the deadline for final CMS approval of Statewide Transition Plans, which must still be approved by March 17, 2019. The bulletin makes no changes to the underlying rule, nor indicates plans to do so.
Depression Mapping and 鈥淗ot-Spotting鈥� Reveals Potential Best Practices
This topic comes to us from 澳门六合彩鈥檚 Anissa Lambertino, PhD, of our Chicago office, and Lori Raney, MD, of our Denver office, and Sarah Arvey, PhD, of our Austin office. May is Mental Health Month, and the first week in May is recognized as National Anxiety and Depression Awareness week. Anissa, Lori, and Sarah鈥檚 work, highlighted below, utilized geospatial mapping of prevalence of depression among Medicaid beneficiaries and treatment with FQHC locations in rural southeastern Ohio, revealing potential best practices.
Quarterly Medicaid Managed Care Enrollment Update – Q1 2017
This week, we reviewed recent Medicaid enrollment trends in capitated, risk-based managed care in 25 states.[1] Many state Medicaid agencies elect to post monthly enrollment figures by health plan for their Medicaid managed care population to their websites. This data allows for the timeliest analysis of enrollment trends across states and managed care organizations. Nearly all 25 states have released monthly Medicaid managed care enrollment data through the first quarter (Q1) of 2017. This report reflects the most recent data posted.
Alabama, Ohio Provide Details on Medicaid MLTSS Program Designs
This week, we reviewed two proposed statewide Medicaid managed long-term services and supports (MLTSS) program designs. Alabama is currently accepting public comments on a plan to implement provider-driven Integrated Care Networks (ICNs) to provide MLTSS statewide to roughly 25,000 beneficiaries who are residing in nursing facilities or receiving home and community based services (HCBS) through three of the state鈥檚 Medicaid HCBS waiver programs. Meanwhile, Ohio Governor John Kasich proposed in his upcoming state budget to implement a statewide MLTSS program for more than 100,000 beneficiaries in the state. We review both states鈥� plans for MLTSS, including market sizes, implementation timing, and existing Medicaid managed care plans in the states.