This week, our In Focus reviews two recently released papers outlining North Carolina’s and New Hampshire’s plans to implement Medicaid managed care long-term services and supports (MLTSS). The North Carolina Department of Health and Human Services released “North Carolina’s Vision for Long-term Services and Supports under Managed Care” on April 5, 2018, and is accepting comments through April 27. The New Hampshire Department of Health and Human Services released its “Implementation Plan for Medicaid Care Management – Nursing Facility/Choices for Independence Services” on March 6, 2018, and is accepting comments through May 4, 2018. Both states are anticipated to release requests for proposals (RFPs) for integrated Medicaid managed care services in the next several months.
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Webinar Replay: Personal Responsibility & Community Engagement in Medicaid
This webinar was held on May 17, 2018.
A growing number of state Medicaid agencies are developing initiatives aimed at achieving broader social goals not previously emphasized in Medicaid, including most notably the introduction of community engagement requirements. Personal responsibility initiatives in Medicaid are not new, but today there is intense state and national focus on leveraging these initiatives as a component of coverage for the non-disabled adult Medicaid expansion population.
During this webinar, state policy experts from HMA Medicaid Market Solutions provided an overview of existing Medicaid personal responsibility initiatives and discussed what tools state and industry leaders need to navigate implementation and operation of these unique programs.
Learning Objectives
- Learn why states are stressing personal responsibility as a key social determinant of health, including a look at the policy decision-making process states go through when considering community engagement and other personal responsibility initiatives.
- Discover the key components in the design of a personal responsibility 1115 waiver program, including the complexities of translating policy into actual practice.
- Understand administrative hurdles and information technology challenges that can occur when implementing community engagement strategies.
- Gain key insights into how to integrate personal responsibility policies into existing Medicaid operations, including examples of how other states accomplished this.
HMA Medicaid Market Solutions Speakers
- Kaitlyn Feiock, Senior Consultant (Indianapolis)
- Amanda Schipp, Senior Consultant (Indianapolis)
Who Should Listen
This webinar was designed for state officials and staff; executives of Medicaid managed care plans; Medicaid systems and operational vendors and stakeholders; clinical and administrative leadership of health systems; behavioral health providers; federally qualified health centers; and other provider organizations trying to understand the emerging trend toward personal responsibility waivers in Medicaid.
View the webinar slides here: HMA Webinar 5-17-2018
Four HMA Behavioral Health Experts Speaking at NatCon18
The National Council for Behavioral Health Conference, held April 23-25, will host more than 5,000 leaders in healthcare. Attendees will explore healthcare’s greatest innovations in practice improvement, financing, integrated health care, technology, policy and advocacy, and professional development. Four HMA behavioral health experts will be speaking at NatCon18.
The Policy, Implementation and Operations of Medicaid Personal Responsibility Initiatives: An Introduction
This week, our In Focus section highlights HMA Medicaid Market Solutions (MMS), formerly SVC, Inc., which is at the forefront in supporting state flexibility in designing and implementing initiatives including Section 1115 Demonstration Waivers promoting member engagement and personal responsibility. Over the coming weeks, HMA MMS will present a series of articles providing an in-depth look at the facets of these new Medicaid models.
Governors’ Proposed Budgets for FY 2019: Focus on Medicaid and Other Health Priorities
This issue brief provides Medicaid highlights from governors’ proposed budgets for state fiscal year (FY) 2019 (July 1, 2018 through June 30, 2019 in most states). Proposed budgets reflect the priorities of the governor and are often blueprints for the legislature to consider. In total, 39 proposed state budgets and text from 46 state of the state speeches were reviewed. This review revealed that while state revenue collections improved in 2017 compared to 2016, considerable economic and regional variation persists, many states are facing significant budget challenges unrelated to Medicaid such as unfunded pension liabilities or falling oil prices, and the outlook for 2018 remains uncertain due, in part, to the impacts of the 2017 Federal Tax Reform Act.
Contributors
Larisa Antonisse, Policy Analyst, Program on Medicaid and the Uninsured, Kaiser Family Foundation
Robin Rudowitz, Associate Director, Program on Medicaid and the Uninsured, Kaiser Family Foundation
Kathleen Gifford, Principal, Health Management Associates
Medicaid Managed Care Spending in 2017
This week, our In Focus section reviews Medicaid spending data collected in the annual CMS-64 Medicaid expenditure report. After submitting a freedom of information act request to CMS, we have received a draft version of the CMS-64 report that is based on preliminary estimates of Medicaid spending by state for federal fiscal year (FFY) 2017. The final version of the report will be completed by the end of 2018 and posted to the CMS website at that time. Based on the preliminary estimates, Medicaid expenditures on medical services across all 50 states and 6 territories in FFY 2017 exceeded $571 billion, with over half of all spending now flowing through Medicaid managed care programs. In addition, total Medicaid spending on administrative services was $27.8 billion, bringing total program expenditures to just under $600 billion.
HMA Expands West Coast Footprint, Opens Office in Los Angeles
Health Management Associates (HMA), a leading independent national consulting firm specializing in publicly funded healthcare, continues its growth with the opening of a new office in downtown Los Angeles.
Alabama Integrated Care Network Program
This week, our In Focus section reviews Alabama’s Integrated Care Network (ICN) program, based on a concept paper released by the Alabama Medicaid Agency in March 2018. The ICN program will establish a new Medicaid long-term care program focusing on a person-centered approach to care delivery using the Primary Care Case Management (PCCM) Entity delivery model, with implementation expected on October 1, 2018.