The following is the first in NAMD’s Working Paper Series, “Advancing Medicare and Medicaid Integration.” New guidance and assistance issued by the Centers for Medicare and Medicaid Services (CMS) are good first steps for improving access to Medicare data for the Medicaid program. However, in practice, the requirements and procedures remain a barrier for states seeking […]

Continue reading

FY 2013 Federal Medical Assistance Percentages; Decennial Census Data Affect the Flow of Medicaid Funds by Vic Miller*  *Vic Miller is a Medicaid finance expert who was the founder and first director of Federal Funds Information for States (FFIS). Mr. Miller, now an independent contractor, prepared this paper for the National Association of Medicaid Directors. It […]

Continue reading

Joint Select Committee on Deficit Reduction United States Congress Washington, DC Dear Members of the Joint Committee on Deficit Reduction: As the Joint Select Committee begins its consideration of opportunities to reduce the federal deficit we urge you to consider constructive changes in the Medicaid program that will reduce costs while increasing access and improving […]

Continue reading

NAMD submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to the proposed rule, “Medicaid and Children’s Health Insurance Programs; Disallowance of Claims for FFP and Technical Assistance.” The letter expresses support for several of the proposed changes and raises questions regarding CMS’ proposed methodology for determining whether a state is […]

Continue reading

NAMD submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to the request from the Medicare-Medicaid Coordination Office’s “Alignment Initiative.” The comments focused on expanding the availability and scope of opportunities for states to improve care coordination through federal grant programs, including long-term care services and supports and other “dual eligible” […]

Continue reading

NAMD submitted comments to the Centers for Medicare and Medicaid Services (CMS) on the proposed rulemaking entitled, “Medicaid Program: Methods for Assuring Access to Covered Medicaid Services.” Medicaid directors agree that access is an important component of the Medicaid program. However, as described in NAMD’s letter, Medicaid directors are concerned with the potential impact of […]

Continue reading

NAMD joined the National Association of States United for Aging and Disabilities (NASUAD) and NAMD to submit joint comments on the Centers for Medicare and Medicaid Services (CMS) proposed rule aimed at amending various provisions of the regulations governing Section 1915(c) Medicaid Home and Community-Based Services (HCBS) waivers, Medicaid Program; Home and Community Based Services […]

Continue reading

NAMD sent a letter to U.S. Health and Human Services Secretary Kathleen Sebelius requesting resolution of the federal government’s liability for the cost of medical services for individuals with disabilities, commonly referred to as the Special Disability Workload (SDW) project. Read the full letter here. Read HHS’ response here.

Continue reading

Ms. Cindy Mann Deputy Administrator and Director Center for Medicaid, CHIP and Survey & Certification Centers for Medicare and Medicaid Services U.S. Department of Health & Human Services 200 Independence Avenue, S.W. Washington, D.C. 20201 Dear Ms. Mann: Medicaid Directors are facing the most difficult budgetary challenge in recent memory. We are committed to maintaining […]

Continue reading