A Look at Nursing Facility Characteristics Between 2015 and 2023 January 5, 2024 Issue Brief This data note examines the characteristics of nursing facilities and the people living in them with data from Nursing Home Compare, a publicly available dataset that provides a snapshot of information on quality of care in each nursing facility, and CASPER (Certification and Survey Provider Enhanced Reports), a dataset that includes detailed metrics collected by surveyors during nursing facility inspections.
The Vast Majority of Nursing Facilities Will Need to Hire More Staff to Comply with the Final Federal Rule When Fully Implemented, Unless They Qualify for an Exemption April 22, 2024 News Release Based on a new KFF analysis, fewer than 1 in 5 (19%) nursing facilities currently meet the minimum staffing standards set out in the final requirements of the federal rule released today by the Centers for Medicare and Medicaid Services (CMS). CMS adopted staffing standards that are similar to the…
Examining New Medicaid Resources to Expand School-Based Behavioral Health Services April 23, 2024 Issue Brief In light of worsening mental health among youth, strategies have been implemented to improve access to behavioral health services in recent years, including expanding school-based care for students. Leveraging Medicaid to improve and address gaps in school-based behavioral health services has been a key strategy in recent years as youth mental health concerns have grown. Provisions from the Safer Communities Act of 2022 utilize Medicaid to expand both school-based health care and other mechanisms of youth behavioral health care. This issue brief explores the implementation of these provisions from the Safer Communities Act thus far, with a focus on the guidance issued from CMS.
Medicaid Waiver Tracker: Approved and Pending Section 1115 Waivers by State April 23, 2024 Issue Brief This Medicaid waiver tracker page aggregates tracking information on pending and approved Section 1115 Medicaid waivers. It includes resources such as an overview figure, detailed waiver topic tables, and explanatory briefs.
With Current Staffing Levels, About 1 in 5 Nursing Facilities Would Meet Fully-Implemented Minimum Staffing Standards in the Final Rule April 22, 2024 Blog This analysis uses the most recently-available data to examine the percentage of nursing facilities that currently meet the minimum staffing requirements in the final rule.
Section 1115 Waiver Watch: Medicaid Pre-Release Services for People Who Are Incarcerated April 16, 2024 Issue Brief In April 2023, the Centers for Medicare and Medicaid Services (CMS) released guidance encouraging states to apply for a new Section 1115 demonstration opportunity to test transition-related strategies to support community reentry for people who are incarcerated. To date, CMS has approved Section 1115 reentry waiver requests from three states (California, Montana, and Washington). This Waiver Watch reviews CMS guidance and summarizes key features of the three approved 1115 reentry waivers.
What You Need to Know About Medicaid Managed Care, Amid the New Federal Rules May 1, 2024 News Release Managed care is the most common delivery system for Medicaid. Most states (42, including DC) use comprehensive managed care plans to provide care to at least some of their Medicaid enrollees, according to KFF’s updated explainer. Roughly 3 out of 4 Medicaid enrollees receive care through managed care organizations and…
Total Monthly Medicaid & CHIP Enrollment and Pre-ACA Enrollment May 1, 2024 State Indicator Medicaid Enrollment, Monthly Medicaid Enrollment, total Medicaid enrollment
Section 1115 Waiver Watch: How California Will Expand Medicaid Pre-Release Services for Incarcerated Populations February 7, 2023 Blog On January 26, the Centers for Medicare and Medicaid Services (CMS) approved California’s Section 1115 request to cover a package of reentry services for certain groups of incarcerated individuals 90 days prior to release. This approval is the first to include a partial waiver of the statutory Medicaid inmate exclusion policy, which prohibits Medicaid from paying for services provided during incarceration (except for inpatient services).