On October 10, NAMD and America’s Health Insurance Plans (AHIP) sent a letter and a jointly-developed proposal to CMS regarding a potential implementation pathway for state screening and enrollment of Medicaid managed care plan network providers. The Medicaid managed care rule released in April 2016 first finalized this requirement effective July 1, 2018, and the […]
NAMD Issue Brief: Medicaid Innovations for Children State Medicaid programs are designing innovations – from alternative payment models to risk-based managed care – that address the unique needs of the children covered by Medicaid, including children with complex health needs and disabilities. This issue brief, developed with support from the Commonwealth Fund, explores examples of […]
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 […]
NAMD submitted comments on a CMS proposed rule impacting the use of pass-through payments in Medicaid managed care programs. We express concern with CMS’s pass-through payment policy overall and specifically comment on the proposed effective date of the rule’s changes. Read the letter.
This letter outlines Medicaid Directors’ ongoing concerns with CMS’s interpretation of the Medicaid managed care rule’s Institutions for Mental Diseases (IMD) provisions, and makes recommendations to enhance flexibility and streamline implementation of these provisions. Read full letter.
NAMD provided comments to leaders of the House Energy and Commerce Committee on their draft proposal to establish a pediatric health home option for Medicaid children with medically complex conditions. Read full letter.
This memo aims to support Medicaid Directors in reviewing CMS’s final rule implementing mental health parity requirements in Medicaid under the Mental Health Parity and Addiction Equity Act of 2008. The document explores state Medicaid program and MCO roles and responsibilities under the rule, as well as the general parity requirements. It also highlights key […]
NAMD staff prepared a memo for Directors outlining key federal regulatory and legislative priorities for the remainder of the year. It provides a snapshot of major priorities for HHS, including completion of the final Medicaid managed care rule, systems work, and value-based purchasing. It also provides an assessment of legislation which is likely to impact […]
NAMD sent a letter to U.S. Department of Health and Human Services Secretary Sylvia Mathews Burwell to share the findings of a new value-based purchasing (VBP) report. Based on the report’s findings, the letter requests HHS support Medicaid value-based purchasing in three ways: by promoting Medicaid involvement in federal VBP initiatives, including the prospective payment […]