What is Medicaid Home Care (HCBS)?
This issue brief provides an overview of what Medicaid home care (also known as “home- and community-based services” or HCBS) is, who is covered, and what services were available in 2024.
View the Latest: Managed Care
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Medicaid and Managed Care
Fact SheetThis fact sheet provides an overview of the Medicaid program's increasing reliance on managed care to deliver services. Fact Sheet
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Pieces of the Puzzle
ReportA new report describes the Report to Congress by the Department of Health and Human Services on consumer protection and quality assurance requirements for Medicaid managed care and discusses the differences between the original Federal rule and the revised one. Report Executive Summary
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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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Massachusetts and Washington: Financial Alignment Demonstrations for Dual Eligible Beneficiaries Compared
Fact SheetThis 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 the demonstrations in each state are set to begin in April 2013. Fact Sheet (.pdf)
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Pulling it Together: Teaching An Old Dog New Tricks
PerspectiveWay back in the eighties when I was Human Services Commissioner in New Jersey, I established something called the Garden State Health Plan (GSHP). It was the first — and I think the only — federally qualified state-run HMO for Medicaid beneficiaries. One goal of the GSHP was to reallocate the Medicaid dollar, giving more to primary care physicians who at the time were paid $9 for a general office visit, and a little less…
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State Medicaid Coverage of Family Planning Services: Summary of State Survey Findings
Other PostState Medicaid Coverage of Family Planning Services: Summary of State Survey Findings Over the past two decades, Medicaid has played a central and growing role in financing and providing access to family planning services for low-income women. About two-thirds of women covered by Medicaid are of child-bearing age, and for this group of women, access to family planning services fills a key health need. This report highlights findings from the 2007/2008 State Survey of Reproductive…
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Quick Take: An Update on the ACA & HIV: Medicaid Health Homes
Fact SheetWe recently wrote about the different ways in which the Affordable Care Act (ACA) changes pathways to health insurance coverage for people with HIV, and chronicled these specifics, as well as several outstanding questions, in a policy brief. As we noted, among the many provisions of the ACA designed to improve care is a new option available to state Medicaid programs to provide “health homes” for Medicaid enrollees with chronic conditions, with a temporary enhanced…
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SCHIP Managed Care Contracting
ReportThe fourth in a series of reports on implementation issues and challenges in the first year of S-CHIP finds that states have been able to enter arrangements with plans for their S-CHIP population fairly easily. REPORT Download
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Native Americans and Medicaid: Coverage and Financing Issues
Other PostNative Americans and Medicaid:Coverage and Financing Issues Medicaid and Welfare Until 1996, families with children who received cash assistance under the Aid to Families with Dependent Children (AFDC) program were automatically entitled to Medicaid coverage. The welfare law enacted that year, Public Law 104-193, repealed the AFDC program and created a Temporary Assistance for Needy Families (TANF) block grant to the states. The 1996 welfare law also severed the automatic eligibility linkage between welfare and…