The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced the Medicare sustainable growth rate formula with the Quality Payment Program (QPP). Although the QPP affects Medicare payment, it has implications for Medicaid payment reform efforts. This issue brief, developed with support from The Commonwealth Fund, provides state Medicaid leaders with an at-a-glance look […]
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 […]
NAMD submitted comments to the Center for Medicare and Medicaid Services (CMS) on the agency’s request for information on pediatric alternative payment model concepts. The letter focuses on areas where CMS could partner with states to most effectively support Medicaid innovations for children, such as: addressing silos between federal programs, aligning quality measures, and supporting […]
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 released a statement requesting federal policymakers’ consideration of key statutory flexibilities for the Medicaid program as part of overall health care reform efforts. The statement articulates Medicaid’s successes in recent years, but also situates Medicaid as one payer among many within the wider health care system. It notes that current reform conversations envision a […]
NAMD sent a congratulatory letter to newly-confirmed Centers for Medicare and Medicaid Services Administrator Seema Verma. In the letter, NAMD expresses appreciation for Ms. Verma’s experience with the Medicaid program and her immediate indication of a commitment to improving the state-federal partnership. Read full letter.
On March 1, NAMD and our sister state associations, the National Association of States United for Aging and Disabilities (NASUAD) and the National Association of State Directors of Developmental Disabilities Services (NASDDDS), sent a joint letter to CMS calling for states to play a prominent role in the future development of any Program of All-Inclusive […]
This NAMD letter responds to a supplemental proposed rule from the Substance Abuse and Mental Health Services Administration on the privacy requirements for substance use disorder (SUD) information (42 CFR Part 2). The letter underscores that separate privacy requirements for SUD information continue to prevent high quality, coordinated care for beneficiaries. It also makes recommendations […]
Medicaid Directors are reorienting the health care system to deliver better care and lower costs through “value-based purchasing” initiatives. These efforts are seeking to address historical fragmentation in the health care delivery system and ensure the sustainability of the Medicaid program. This resource, developed with support from The Commonwealth Fund, provides foundational information about Medicaid […]
NAMD submitted comments to CMS on the agency’s proposed rule that would impact eligibility and fair hearing processes in Medicaid. In general, the Association’s letter expresses concern that the rule does not recognize the variation in process and procedure that is appropriate among states in the fair hearing process. Read full letter.