NAMD Submits Comments on Future of HCBS

On January 9, NAMD provided comments in response to a CMS Request for Information seeking stakeholder input on a variety of questions addressing the provision of Medicaid home and community-based services (HCBS). In the comments, NAMD calls for CMS to be mindful of states’ unique role in HCBS program administration and the continually evolving HCBS […]

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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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On December 20, 2016, the National Association of Medicaid Directors (NAMD) released its fifth annual State Medicaid Operations Survey Report, providing a unique window into the structure of Medicaid operations, and priorities and challenges facing Medicaid Directors in leading the program. Covering 73.1 million people as of August 2016, Medicaid is the nation’s health care […]

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NAMD Comments on Final MACRA Regulation

NAMD submitted comments on the Final Regulation with Comment implementing the Medicare Access and CHIP Reauthorization Act (MACRA). NAMD’s letter addresses unique Medicaid considerations in the multi-payer component of MACRA’s Advanced APM program. Read full 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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Two new NAMD documents outline key Medicaid issues and operational considerations for policymakers should they move forward in evaluating proposals to repeal and replace the Affordable Care Act (ACA) and/or make structural changes to Medicaid. NAMD has not taken positions on proposals related to the ACA or structural changes to the Medicaid program. Rather, these […]

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NAMD’s legislative and regulatory priority documents outline opportunities to modernize the federal rules governing Medicaid to ensure these comport with the realities and expectations for states to run high performing Medicaid programs. NAMD believes these modernizations – in federal statute and in federal regulation – can have a meaningful, positive impact for Medicaid enrollees. See […]

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This issues brief explores the concept of an integrated ACO model for dually eligible individuals and outlines issues policymakers would need to consider in the design of such an approach. These considerations include: the role of state partnership, timely integrated Medicare and Medicaid data, quality measure alignment, the heterogeneity of the dually eligible population, and […]

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MACRA Final Regulation At-A-Glance

This document provides a quick reference to the key provisions for states in the Nov. 4, 2016 final rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA). It provides brief background information, identifies key changes between the proposed and final rule, and highlights areas where CMS is seeking additional comment. Read full document.

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