Medicaid is one of the nation’s most vital health care safety net programs, providing health coverage for more than 72 million Americans. Medicaid – often called different names in different states – serves as the largest payer of births, mental health services and long-term care in America. The program is jointly funded by federal and state governments, but administered by states under broad federal standards.

Each of the 56 Medicaid programs in states, U.S. territories and the District of Columbia operates differently, resulting in considerable complexity in many areas, including financing arrangements. At the same time, over the years, state Medicaid programs have grown and evolved to encompass a disproportionate percentage of state budgets. As states face ongoing budget challenges and changes brought on by health care reform, Medicaid directors have increasingly focused on increasing the value of health care services for members by reducing costs and improving access to care.

Medicaid directors work tirelessly to provide the best possible health care to vulnerable Americans while being responsible stewards of taxpayer dollars. State Medicaid directors are driving significant reforms to not only the Medicaid program, but the underlying health care system.

NAMD supports Medicaid financing measures that allow state Medicaid directors to flexibly drive innovations, maintain successful improvements and diffuse effective new approaches throughout the system.

NAMD Letter to Congress Addresses Children with Special Health Care Needs

NAMD sent a letter to sponsors of the legislation, “Advancing Care for Exceptional for Kids.” The letter addresses the bill’s underlying structure and implementation issues as well as other opportunities to enhance access to care coordination and high quality services for children with complex medical needs. Read full letter.

NAMD Letter to Senators Addresses IMD Exclusion, CCBHC Demonstration

On April 29, NAMD sent a letter to leadership of the Senate Finance Committee and the Senate Health, Education, Labor, and Pensions Committee addressing Senators’ efforts to improve the nation’s behavioral health system. In particular, NAMD praised the Committees for their consideration of lifting restrictions on federal Medicaid payments for services provided in Institutions for […]

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 […]

NAMD Memo on Comprehensive Primary Care Plus Model Application

NAMD prepared a memo providing a summary of the Center for Medicare and Medicaid Innovation (CMMI)’s recently-announced Comprehensive Primary Care Plus (CPC+) care model. The memo summarizes the model’s goals, its main features, key components for payers to consider in applying to the model, and potential pros and cons for state participation. Read the full […]

NAMD Letter to HHS Secretary on Value-based Purchasing in Medicaid

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 […]