Measuring Long-Term Services and Supports Rebalancing
This fact sheet provides a brief overview of quality measures related to long-term services and supports rebalancing.
View the Latest: Long-Term Care
Filter
-
-
Rebalancing in Capitated Medicaid Managed Long-Term Services and Supports Programs: Key Issues from a Roundtable Discussion on Measuring Performance
Issue BriefThis issue brief summarizes the key issues related to measuring performance in LTSS rebalancing identified and discussed by participants in an expert roundtable meeting on November 13, 2014.
-
Awaiting New Medicaid Managed Care Rules: Key Issues to Watch
Issue BriefMore than half of all Medicaid beneficiaries now receive their services in risk-based managed care plans, and states’ use of managed care is expanding. States operate their own Medicaid managed care programs within federal rules and requirements. The federal regulations were last updated in 2002 and a new proposed rule is expected in Spring 2015. This brief identifies key issues in the regulation and discusses how CMS might address them.
-
COVID-19 Issues and Medicaid Policy Options for People Who Need Long-Term Services and Supports
Issue BriefThis issue brief provides state-level data on long-term services and supports (LTSS) users by setting, discusses the unique challenges that LTSS users will face in light of COVID-19, the disease caused by the novel coronavirus. It presents federal and state policy options, and explores Medicaid’s role as the primary LTSS payer in the U.S..
-
Medicaid’s Role for Children with Special Health Care Needs: A Look at Eligibility, Services, and Spending
Issue BriefThis 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.
-
Medicaid Retroactive Coverage Waivers: Implications for Beneficiaries, Providers, and States
Issue BriefThis issue brief answers key questions about Medicaid retroactive coverage, describes Iowa’s recent Section 1115 waiver amendment, considers the policy implications of retroactive coverage waivers, and identifies issues to watch.
-
Proposed Rule on Medicaid Managed Care: A Summary of Major Provisions
Issue BriefThis issue brief summarizes major provisions of the Notice of Proposed Rulemaking (NPRM) to modernize and strengthen federal Medicaid managed care regulations, which serves as an informational guide to key proposed new federal expectations and requirements of states and managed care arrangements, and federal oversight interests moving forward.
-
Medicaid Balancing Incentive Program: A Survey of Participating States
ReportThe Balancing Incentive Program provides enhanced federal matching funds, allowing states to advance their efforts to rebalance Medicaid long-term services and supports (LTSS) spending and expand access to home and community-based services as an alternative to institutional care. This report highlights participating states' efforts to implement the program's three structural requirements and use the enhanced federal funds in support of other Medicaid LTSS rebalancing efforts.
-
More Than 1 in 3 Nursing Homes Received Relatively Low Overall Ratings on Nursing Home Compare
News ReleaseMore than one third of the nation’s 15,500 nursing homes, accounting for 39 percent of all nursing home residents, received relatively low ratings of 1 or 2 stars under the federal government’s recently revamped Five-star Quality Rating System, according to a new analysis by the Kaiser Family Foundation.
-
Money Follows the Person: A 2012 Survey of Transitions, Services and Costs
Issue BriefThe Affordable Care Act extended the Money Follows the Person (MFP) demonstration grant program through 2016, giving states further options to transition Medicaid beneficiaries living in institutions back to the community.