Medicaid and the Council: A Year in Review
December 30, 2013 12:14 PM
The National Council on Medicaid Home Care (the Council) looks back on 2013’s major developments for both Medicaid and the Council, a NAHC affiliate:
Medicaid Expansion: Several states continue to expand traditional fee for service Medicaid under the Affordable Care Act. A growing number of states are seeking permission from CMS for alternative methods of expansion using commercial insurance and managed care plans, incorporating principles such as premium assistance. Iowa is the third state, after Arkansas and Michigan, to adopt such a model, with Pennsylvania and Tennessee currently in negotiations with CMS to do the same.
Managed Long Term Services and Supports and Duals Demonstrations: More states are moving away from fee-for service LTSS and towards managed long-term services and supports (MLTSS). Despite delays and criticisms, states continue to sign on to duals demonstrations with CMS. Both MLTSS and the duals demonstrations create strong opportunities for rebalancing.
Olmstead Litigation: Lawsuits continue to be brought against states alleging insufficient provision of home and community-based services, as was the case this year in Georgia and Florida.
Payment Rates: States continue to re-negotiate fee for service Medicaid payment rates. For recent Council survey results on payment rates, click here.
New Staff Members: The Council welcomed Michelle Martin, Director of Policy, and Steve Postal, Director of the Resource Center, earlier this year. Both join Bill Dombi, Executive Director.
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