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.

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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.  

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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 […]

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NAMD Spring 2016 Federal Policy Update

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 […]

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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 […]

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March 24, 2016 – A new NAMD report, released in partnership with Bailit Health Purchasing and with the support of The Commonwealth Fund, provides an overview of Medicaid’s critical work to design and implement value-based purchasing models in the U.S. health care system. Specifically, it explores Medicaid’s path to transform provider payment away from the […]

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NAMD Responds to Medicaid Access RFI

NAMD submitted comments to a Centers for Medicare and Medicaid Services (CMS) Request for Information (RFI) to provide key considerations around Medicaid access monitoring measures. NAMD recommends that CMS must allow states to retain authority over their reimbursement rates, as well as prioritize high-value measures that target specific program priorities and minimize overall reporting burden […]

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