Policy Committees

Eligibility and Access

The Eligibility and Access Committee will, on an ongoing basis, identify, define and work to reach consensus on critical issues for state Medicaid Directors in this area. The work products of the committee may include short issue briefs or white papers, draft policy position statements, survey results, and topical calls on current practices.

This Committee is charged to:
1. Identify policy options that will make the transition to MAGI is undertaken in the most efficient, least burdensome way for state Medicaid programs.
2. Identify operational, efficient, and cost-effective approaches to facilitate the intersection between Medicaid and the Exchange.
3. Identify and disseminate approaches for addressing supply/workforce challenges for the Medicaid program.
4. Identify potential policy challenges and opportunities for states in preparing for the 2014 coverage expansion.
5. Advise the Board on other policy related matters as needed.

Health Information Technology and Systems

The Health Information Technology and Systems Committee will, on an ongoing basis, identify, define and work to reach consensus on critical issues for state Medicaid Directors in this area. The work products of the committee may include short issue briefs or white papers, draft policy position statements, survey results, and topical calls on current practices.

This Committee is charged to:
1. Identify policy options that will make the adoption of HIT and transition to HIE undertaken in the most efficient, least burdensome way for state Medicaid programs.
2. Identify operational, efficient, and cost-effective approaches to facilitate the intersection between Medicaid and Health Information Exchange eligibility and enrollment systems. Identify potential policy challenges and opportunities for states in developing such systems.
3. Identify and disseminate effective approaches and uses for data analytics.
4. Identify opportunities for states and approaches for the development of all-payer claims databases.
5. Develop and disseminate resources to leverage the availability of Medicare data.
6. Identify opportunities and data-driven approaches for states to address program integrity issues.
7. Facilitate sharing of resources and approaches for MMIS development.
8. Advise the Board on other policy related matters as needed.

Care Management and Integration

The Care Management and Integration Committee will, on an ongoing basis, identify, define and work to reach consensus on critical issues for state Medicaid Directors in this area. The work products of the committee may include short issue briefs or white papers, draft policy position statements, survey results, and topical calls on current practices.

This Committee is charged to:
1. Identify and disseminate information on evolving care management models. Develop policy options for advancing effective care management models that provide cost-efficient, high quality care.
2. Facilitate information sharing about common approaches for developing health homes, medical homes, ACOs, and related care management models under development. Identify potential policy challenges and opportunities for states in developing such systems.
3. Identify and disseminate information on care management models for duals, children with special health care needs, and other Medicaid enrollees with complex health conditions.
4. Develop and disseminate resources about common practices in risk-based and capitated management models, including selective contracting and development and evaluation of RFPs.
5. Advise the Board on other policy related matters as needed.

Delivery System and Payment Reform

The Delivery System and Payment Reform Committee will, on an ongoing basis, identify, define and work to reach consensus on critical issues for state Medicaid Directors in this area. The work products of the committee may include short issue briefs or white papers, draft policy position statements, survey results, and topical calls on current practices.

This Committee is charged to:
1. Identify policy options for strengthening the ability of states to leverage their purchasing power, including identifying existing barriers. The committee will develop options to leverage payment reform to improve the quality of services delivered and outcomes.
2. Develop policy options for advancing effective care management models that provide cost-efficient, high quality care.
3. Facilitate information sharing about common approaches for developing health homes, medical homes, ACOs, and related care management models under development. Identify potential policy challenges and opportunities for states in developing such systems.
4. Develop and disseminate resources about common practices in rebalancing long-term services and supports and delivery.
5. Develop and disseminate resources about approaches to drive quality and maintain program integrity in home and community-based services (HCBS) programs.
6. Advise the Board on other policy related matters as needed.

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