Major Differences in the BBA Medicaid Managed Care Regulation
A side-by-side comparison of the original and revised Federal rule for new consumer protection and quality assurance requirements for Medicaid managed care. Side-by-Side Comparison
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Medicaid Benefits: California
Other PostCompleted for the National Conference of State Legislatures and the Kaiser Commission on Medicaid and the Uninsured, by Health Management Associates. Compiled from Medicaid State Plans and Amendments approved by the Centers for Medicare and Medicaid Services, and from State websites, with verification by State and Territorial Medicaid officials in March 2003.
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An Overview of the Independence Plus Initiative to Promote Consumer-Direction of Services in Medicaid
Issue BriefThis issue brief provides an overview of the Independence Plus Initiative, compares core program features with the Cash and Counseling Demonstration program, and discusses several policy issues that arise in the implementation of this initiative. Issue Paper (.pdf)
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Medicare Drug Discount Cards: A Work In Progress
ReportThis report examines the early experience with the Medicare-Approved Drug Discount Card Program, prices offered by card sponsors, and potential savings for enrollees. The report presents information about approved discount card programs, including sponsors, enrollment fees, and drugs covered, as well as beneficiary education and outreach efforts by the Centers for Medicare & Medicaid Services. The pricing analysis shows that discount cards can deliver savings off of full retail drug prices, but also that savings…
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State Options That Expand Access to Medicaid Home and Community-Based Services
ReportThis background paper examines various aspects of the Medicaid program that can expand access to home and community-based services (HCBS) and rebalance long-term care spending in favor of HCBS. As a result of the long-standing requirement that states cover facility-based care, the majority of Medicaid long-term care (LTC) expenditures historically have been for institutional, rather than home and community-based, services. Over the past two decades, major efforts have been undertaken by states and the Centers…
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Medicare’s Role for Latinos
Fact SheetMedicare's Role for Latinos Fact Sheet: The Medicare Program: Medicare's Role For Latinos
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New Resources & Briefing Examine Medicaid Long-Term Services and Supports
Event Date:EventThe following resources by the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) examine the latest data findings regarding Medicaid’s long-term services and supports for seniors and people with disabilities. The materials were released at a public briefing in the Foundation’s Washington, D.C. offices that featured an expert panel and remarks on long-term services and supports by U.S. Secretary of Health and Human Services Kathleen Sebelius. The reports include: Medicaid Home and Community-Based…
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Case Study: Ohio’s Money Follows the Person Demonstration (HOME Choice)
Issue BriefThis case study of Ohio's Money Follows the Person demonstration, known as HOME Choice, describes key features of the program and highlights early program experiences. Ohio was one of 17 states to receive federal funding for the Money Follows the Person (MFP) rebalancing demonstration in January 2007. The state was awarded up to $100 million in enhanced federal matching funds in order to transition roughly 2,200 seniors and people with disabilities from institutions to home…
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Recent Growth in Medicaid Home and Community-Based Service Waivers
ReportMedicaid spending on home and community-based service (HCBS) waivers dominates spending on community-based long-term care services offered through the Medicaid program. This paper examines trends in HCBS waiver enrollment and spending in recent years. Report (.pdf)
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Consumer Protection Issues Raised by the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
ReportThis paper identifies and examines consumer protection issues that arise from the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. Key issue areas include: beneficiary information, marketing, enrollment and disenrollment, the drug benefit package and cost-sharing, the appeals process, concerns for low-income beneficiaries, challenges for nursing home issues, and fraud and abuse. Report (.pdf)