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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NAMD Memo on the Medicaid IMD Exclusion

This memo provides background information for interested congressional staff on the IMD exclusion in light of the Center for Medicare and Medicaid Innovation’s (CMMI) recent decision not to extend the Medicaid Emergency Psychiatric Demonstration (MEPD). This document examines the context for the IMD exclusion; explores the available pathways for states to mitigate the IMD exclusion […]

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