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Massachusetts and Washington: Financial Alignment Demonstrations for Dual Eligible Beneficiaries Compared
This fact sheet examines the similarities and differences between the five-year demonstrations in Massachusetts and Washington state to integrate care and align financing for people dually eligible for Medicare and Medicaid. The states finalized memoranda of understanding (MOUs) with the Centers for Medicare and Medicaid Services in fall 2012, and…
Fact Sheet Read More The Community Living Assistance Services and Supports (CLASS) Act
This issue brief provides a brief overview of the Community Living Assistance Services and Supports (CLASS) Act, including a discussion of how the program would be financed and whom it is intended to reach. The paper was released as part of a Kaiser briefing about the act, a component of…
Issue Brief Read More New Reports Examine Consumer Direction for Personal Assistance Services in Four States’ Medicaid Programs
With a shift towards providing long-term services and supports in the community, policy interest in Medicaid consumer direction of personal assistance services (CD-PAS) has grown. Although overall enrollment in these programs is small, 42 states offered consumer direction in Medicaid in 2006. These programs allow Medicaid beneficiaries control over hiring,…
Report Read More Efforts in States to Promote Medicaid Community-Based Services and Supports
This brief summarizes lessons in offering more home and community-based services from states at the forefront of the effort. It describes current options for state Medicaid programs and draws on interviews with state officials to provide details about specific policies and procedures in states. Brief (.pdf)
Issue Brief Read More Asset Transfer and Nursing Home Use
Asset Transfer and Nursing Home UseThis issue brief examines asset transfer data of elderly nursing home residents and finds that for those who qualify for Medicaid, their average asset transfer are small, sufficient to cover about one month of private nursing home care.Issue Brief (.pdf)
Issue Brief Read More Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid Assets Transfer Practices
Frontline Perspectives on Long-Term Care Financing Decisions and Medicaid AssetsTransfer PracticesIn the Deficit Reduction Act of 2005, Congress tightened Medicaid asset transfer rules for individuals qualifying for Medicaid assistance with nursing home bills. Research on asset transfer shows a low incidence of asset transfers and limited cost savings from tightening…
Report Read More Long-Term Service and Supports: The Future Role and Challenges for Medicaid
This report examines the structure and impact of Medicaid’s role in long-term care. Based on a roundtable discussion of policy makers and experts and drawn from a body of health services research, the report highlights policy challenges facing the Medicaid program today and identifies issues in providing long-term care going…
Report Read More Implementation of Affordable Care Act Provisions to Improve Nursing Home Transparency, Care Quality, and Abuse Prevention
The Affordable Care Act (ACA) is the first comprehensive legislation since the Nursing Home Reform Act, part of the Omnibus Budget Reconciliation Act of 1987 (OBRA ’87), to expand quality of care-related requirements for nursing homes that participate in Medicare and Medicaid and improve federal and state oversight and enforcement.…
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Medicaid’s Role for Seniors
This infographic highlights Medicaid’s role for seniors. It includes information about the senior population and highlights Medicaid’s role in increasing access to and financing treatment, particularly for long-term care. It also discusses the potential impact of proposals to limit federal Medicaid financing.
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Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending
This issue brief describes the role that Medicaid plays for children with special health care needs. It explains common eligibility pathways, covered services, and program spending for these children. The Appendix includes 50-state data on the number of children with special health care needs covered by Medicaid/CHIP. A companion brief compares key characteristics of Medicaid/CHIP children with special health care needs to those covered by private insurance.
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