This brief provides an overview of Section 1115 waiver authority, describes major provisions of waivers that extend coverage to childless adults, and identifies key issues and implications of these waivers looking forward to the Affordable Care Act and beyond.
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This analysis examines state Medicaid coverage of routine HIV screening and finds that currently, more than two thirds of states cover routine screening under their Medicaid programs. The analysis includes a breakdown of which states cover routine screening and which states only cover medically necessary HIV screening.
This report discusses key responsibilities that the federal government and states hold for managing the Medicaid program and identifies the key issues and challenges states face as they transform the way they do business and achieve key national goals. The paper relies on an extensive review of federal and state administrative responsibilities drawn from statute, regulation, and relevant literature, coupled with discussions with six current Medicaid directors.
Health Affairs Article: Medicaid Expansion: Chronically Homeless Adults Will Need Targeted Enrollment and Access to a Broad Range of Services
Homeless adults may gain access to health services under the Affordable Care Act’s Medicaid expansion, which takes effect in 2014. This study, published in Health Affairs, analyzed the health coverage, health status, and health services use of 725 chronically homeless adults with disabilities in eleven cities in the United States.
This fact sheet compares the two Medicaid premium assistance authorities (state plan option and demonstration waiver) and identifies key beneficiary protections in Medicaid expansion premium assistance programs.
Preparing for Outreach and Enrollment under the Affordable Care Act: Lessons from the States – Briefing and Panel Discussion
With open enrollment beginning Oct. 1, this event examines outreach and enrollment efforts to help millions of uninsured Americans gain coverage in the Affordable Care Act’s new health insurance Marketplaces or through the expansion of state Medicaid programs.
Key Issues in State Implementation of the New and Expanded Home and Community-Based Services Options Available Under the Affordable Care Act
This brief summarizes the key issues identified and discussed by participants in Kaiser Family Foundation’s Commission on Medicaid and the Uninsured’s July 16, 2013 roundtable meeting on state adoption of the new and expanded Affordable Care Act home and community-based services (HCBS) options. While states have made overall progress in rebalancing their long-term care systems in favor of community-based care, state adoption of ACA HCBS options has been relatively slow to date, despite the growing demand for HCBS among beneficiaries and the enhanced federal funding associated with several of these options.
This fact sheet summarizes the various Medicaid long-term services and supports provisions by funding authority.
Amid increasing state and national interest in using managed care delivery models for Medicaid beneficiaries, the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) hosted a public briefing on Tuesday, June 25, 2013 to provide information on recent transitions from fee-for-service to managed care, and to discuss their…
Leveraging Medicaid in a Multi-Payer Medical Home Program: Spotlight on Rhode Island’s Chronic Care Sustainability Initiative
Rhode Island’s Chronic Care Sustainability Initiative (CSI) is a multi-payer patient-centered medical home program in which the one Medicaid health plan and all commercial health plans in the state participate. Hallmarks of the initiative are engaged leadership, mandatory participation but participatory governance, a common contract used by all payers, and investments in health information technology and other support for practice transformation.