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HMA Partners with the National Association of Latino Healthcare Executives
Medicaid Non-Emergency Transportation Benefit: Stakeholder Perspectives on Trends and Innovations
This week, our In Focus section reviews key takeaways from the report, Medicaid Non-Emergency Transportation Benefit: Stakeholder Perspectives on Trends and Innovations, prepared by Health Management Associates (HMA) for the Medicaid and CHIP Payment and Access Commission (MACPAC).
HMA colleagues conduct environmental scan of NEMT benefit to Medicaid enrollees
As part of a larger Medicaid and CHIP Payment and Access Commission (MACPAC) study on Medicaid non-emergency medical transportation (NEMT) in response to a request from the Senate Appropriations Committee, a team of HMA colleagues conducted a 50-state environmental scan of NEMT programs and stakeholder interviews to better understand approaches and trends in the provision of the NEMT benefit to Medicaid enrollees across the United States.
The culminating report included NEMT trends, challenges, and innovations drawn from the scan of programs and interviews with stakeholders including federal officials, Medicaid officials from six study states, NEMT brokers and providers, managed care companies, beneficiary advocates, and subject matter experts.
The key findings are outlined in the report and include information about:
- NEMT populations and utilization
- Various modes of transportation
- NEMT delivery system model variations, advantages, and challenges
- NEMT complaints, performance issues, and innovation
- Performance improvement, oversight, and program integrity
- Transportation network challenges and increasing role of transportation network companies
- Coordination across federally assisted transportation services
- Stakeholders’ view on the value and role of NEMT
In December 2020, following the completion of the interviews for this study, Congress added a requirement to the federal statute requiring states to provide NEMT to Medicaid beneficiaries who have no other means of transportation to medically necessary healthcare services.
The HMA team included Principals Sharon Silow-Carroll, MSW, MBA and Kathy Gifford, JD, Senior Consultant Carrie Rosenzweig, MPP, Consultants Anh Pham and Julie George, JD as well as retired Managing Principal Kathy Ryland.
The research underlying this report was completed with support from the Medicaid and CHIP Payment and Access Commission (MACPAC). The findings, statements, and views expressed are those of the authors and do not necessarily represent those of MACPAC.
Arizona Releases Competitive Contract Expansion (CCE) RFP
This week, our In Focus section reviews the Arizona Health Care Cost Containment System (AHCCCS) Competitive Contract Expansion (CCE) request for proposals (RFP), released on August 4, 2021. The procurement will expand the current AHCCCS Complete Care (ACC) Medicaid contracts to include responsibilities as an ACC Contractor (health plan) with a Regional Behavioral Health Agreement (ACC-RBHA). At least one incumbent Medicaid ACC Contractor will be selected in each of the state’s three Geographic Service Areas (GSAs). The responsibilities will include management of:
Webinar Replay: Leveraging Your SAMHSA Certified Community Behavioral Health Center Grant
This webinar, held on August 18, 2021, was the ninth webinar in the series “Exploring the Landscape of Behavioral Healthcare,” covering the growing impact of behavioral healthcare on clinical outcomes and cost.
Winning a SAMHSA Certified Community Behavioral Health Center (CCBHC) grant is just the beginning. Now the real work beings. During this webinar, SAMHSA grant experts and a previous grant winner provided a step-by-step guide to implementing and leveraging CCBHC grants for maximum results. Speakers addressed the key steps to achieving CCBHC certification, meeting SAMHSA grantee requirements, and strategically building toward sustainability beyond the two-year grant period.
- Learn what makes the CCBHC grant opportunity unique.
- Understand the activities and processes needed to help ensure a successful implementation.
- Find out how to develop strategies that support long-term sustainability.
- Obtain case studies and lessons learned from a previous CCBHC grantee.
Heidi Arthur, Principal, HMA, New York, NY
Kristan McIntosh, Senior Consultant, HMA, New York, NY
Melissa Jillson, Senior Director, Liberty Resources Inc., Syracuse, NY
Liz Krell, Assistant Director of Process Optimization, Liberty Resources Inc., Syracuse, NY
Senate Infrastructure Bill Has Both Direct, Indirect Impact on U.S. Health Care System, Leavitt Partners Analysis Shows
President Biden and Senator Majority Leader Schumer have been pursuing a two-track strategy to advance major policy objectives in 2021. The first track, the bipartisan “Infrastructure Investment and Jobs Act,” passed the Senate 69-30. Attention now turns to the House, where Speaker Pelosi has indicated she will not consider the bill until the Senate passes a Democratic-only reconciliation bill – which is the second track in Democrats’ policy strategy. While the Senate vote reflects a major bipartisan milestone, the bill still faces a trip through the House of Representatives before it gets to President Biden’s desk.