Paying for Prescribed Drugs in Medicaid: Current Policy and Upcoming Changes May 23, 2014 Issue Brief The federal government has proposed new rules that aim to make Medicaid outpatient drug reimbursement policies more closely match the cost of obtaining and filling prescriptions. However, the change in policy may have varying effects on reimbursement, depending on the state’s current approach and the type of drug in question. This paper explains current Medicaid pharmacy reimbursement methodology and examines the potential effect of the proposed rule changes.
The Virginia Health Care Landscape May 20, 2014 Fact Sheet This fact sheet provides an overview of the population health, health coverage, and health care delivery system in Virginia in the era of health reform under the Affordable Care Act (ACA).
Health Coverage and Care for Youth in the Juvenile Justice System: The Role of Medicaid and CHIP May 19, 2014 Issue Brief This brief provides an overview of the health and mental health needs of girls and boys in the juvenile justice system and the role of Medicaid and CHIP in addressing those needs. It focuses on the circumstances of youth who are placed in juvenile justice residential facilities, the discontinuity of Medicaid coverage for those youth, and the options for improving coverage, continuity of care and access to needed services post-discharge, including new opportunities provided by the Affordable Care Act (ACA).
How is the ACA Impacting Medicaid Enrollment? May 5, 2014 Issue Brief This issue brief provides an overview of new Medicaid enrollment data released by Centers for Medicare and Medicaid Services and its interpretation to assess the influence of the ACA on Medicaid enrollment.
Measuring Changes in Insurance Coverage Under the Affordable Care Act April 30, 2014 Issue Brief This data note discusses the details and timing of some of the private and federal surveys that will be used to look at how coverage has changed due to the Affordable Care Act. Different surveys offer different information and insight into coverage under the ACA, and we discuss the contributions and challenges in each type of effort.
Tennessee’s Money Follows the Person Demonstration: Supporting Rebalancing in a Managed Long-Term Services and Supports Model April 25, 2014 Issue Brief Tennessee’s Money Follows the Person (MFP) demonstration, implemented within the context of Tennessee’s pre-existing capitated Medicaid managed care delivery system, is an integral component of the state’s Medicaid long-term services and supports rebalancing efforts. This case study describes key features of Tennessee’s MFP demonstration and highlights recent program experiences.
Maryland’s Money Follows the Person Demonstration: Support Transitions Through Enhanced Services and Technology April 25, 2014 Issue Brief Maryland’s Money Follows the Person (MFP) demonstration continues to lead the state’s Medicaid long-term services and supports rebalancing efforts. This case study describes key features of Maryland’s MFP demonstration and highlights recent program experiences.
Money Follows the Person: A 2013 State Survey of Transitions, Services, and Costs April 25, 2014 Report The Money Follows the Person (MFP) demonstration provides enhanced federal matching funds, allowing states to better support Medicaid long-term services and supports beneficiaries in transitioning from institutions back to the community. This report highlights 2013 MFP enrollment and spending trends and services and supports offered across state MFP demonstrations.
Money Follows the Person Demonstration Program: Helping Medicaid Beneficiaries Move Back Home April 25, 2014 Issue Brief This brief profiles four Medicaid long-term services and supports beneficiaries who transitioned back to the community as participants in the Money Follows the Person demonstration program in Maryland or Tennessee.
The Affordable Care Act’s Impact on Medicaid Eligibility, Enrollment, and Benefits for People with Disabilities April 8, 2014 Issue Brief Medicaid is an important source of health insurance coverage for people with disabilities. This issue brief explains how Medicaid eligibility and benefits for people with disabilities are affected by the Affordable Care Act (ACA) rules as of 2014. Marketplace rules are discussed to the extent that they relate to Medicaid eligibility determinations for people with disabilities.