NAMD works to create resources and supports for member states across the primary areas of Medicaid coverage, administration, finance and state program frameworks. Those resources and supports are grouped into focus areas to make them easy to find.
According to federal law, states must offer specific required health care benefits, while having the flexibility to include additional optional benefits. Examples of mandatory benefits include inpatient and outpatient hospital services, physician services, and laboratory and x-ray services, among others. Examples of optional benefits include prescription drugs and physical therapy.
Whether it’s through managed care or fee-for-service, Medicaid agencies use their policy and payment levers to achieve better quality and access.
Medicaid and CHIP serves more 1 in 5 Americans—millions of people with unique healthcare needs including children and young people, pregnant people, older adults, people with disabilities, and some low-income adults.
Medicaid programs across the country ensure millions of people receive essential health care. Administering this complex program requires a multi-layered approach to managing the budget, IT systems, member outreach and more.
Overseeing a large, complex Medicaid system that serves millions and operates within individual state governments takes a highly specialized skill set and strong leadership.
Quality of care, not quantity, is the benchmark against which all health care delivery should be assessed. Medicaid programs across the country are making strides at implementing programs that consider quality as well as access to care.
Drop us your email and we’ll keep you up-to-date on Medicaid issues.
