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.
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 […]
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.
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 […]
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.
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.
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 […]
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 […]