This letter articulates Medicaid Directors’ requests for federal policymakers to provide states with certainty of the ongoing federal commitment around two key programs: first, the Children’s Health Insurance Program (CHIP), and second, the Medicare Advantage Duals – Special Needs Plans (D-SNPs) program. These actions can provide states with the budgetary and operational certainty they need […]
On January 9, NAMD provided comments in response to a CMS Request for Information seeking stakeholder input on a variety of questions addressing the provision of Medicaid home and community-based services (HCBS). In the comments, NAMD calls for CMS to be mindful of states’ unique role in HCBS program administration and the continually evolving HCBS […]
NAMD’s legislative and regulatory priority documents outline opportunities to modernize the federal rules governing Medicaid to ensure these comport with the realities and expectations for states to run high performing Medicaid programs. NAMD believes these modernizations – in federal statute and in federal regulation – can have a meaningful, positive impact for Medicaid enrollees. See […]
This issues brief explores the concept of an integrated ACO model for dually eligible individuals and outlines issues policymakers would need to consider in the design of such an approach. These considerations include: the role of state partnership, timely integrated Medicare and Medicaid data, quality measure alignment, the heterogeneity of the dually eligible population, and […]
NAMD notified the Center for Medicare and Medicaid Services (CMS), of its strong support for a next generation SIM initiative to continue building state capacity to lead the movement to a value-based health care system. Read full letter.
NAMD submitted a response to the December 2015 policy options paper issued by the Chronic Care Working Group of the Senate Committee on Finance. NAMD conveyed its strong support for permanent authorization for the Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) program and called for reform of enrollment policies for the Medicare-Medicaid dual eligible […]
NAMD submitted comments in response to the Centers for Medicare and Medicaid Services (CMS) proposed changes to the CMS-Hierarchical Condition Category (HCC) risk adjustment model for plan year 2017. Alignment of Medicare and Medicaid payment policies is increasingly important to states’ work to drive person-centered systems that address the continuum of complex service needs for […]
Today, NAMD urged Congressional committees of jurisdiction to take immediate action to avert the 52% increase in Medicare Part B premiums slated to take effect on January 1, 2016. The letter notes that the financial burden of this increase falls primarily on Medicaid programs, as the premium increase applies to only 30% of Part B […]
NAMD submitted comments to the Centers for Medicare and Medicaid Services in response to the Medicare Advantage Capitation Rates, Part C and Part D Payment Policies and 2016 Call Letter. NAMD urges CMS to expedite action to better support a viable delivery system for the Medicare-Medicaid dual eligible population. Read the full letter here.