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Medicaid Supports for Family Caregivers

November 4, 2020

Family caregivers help Medicaid enrollees safely stay in their own homes, prevent or delay hospital and nursing facility stays, and provide personal care services that Medicaid agencies would otherwise need to pay for. However, there are strong indications that family caregivers need additional supports, which would benefit the Medicaid enrollees in their care. Recognizing family caregivers' critical contributions, state Medicaid agencies already provide training, services, or, sometimes payment to them. This report examines the strategies states currently use and presents four interrelated actions the federal government could take to foster spread of innovative strategies that some states have developed.Click "Download" to access this resource.Tags: Healthcare, Caregiving, Policy

Inventory of Key Family Caregiver Recommendations

April 14, 2020

To assist the RAISE Act Family Caregiving Advisory Council make its recommendations, NASHP collected and analyzed about 800 recommendations from 27 key family caregiving reports written in the past decade. NASHP synthesized and inventoried the recommendations in this resource, with support from The John A. Hartford Foundation and in collaboration with the US Administration for Community Living.Click "Download" to access this resource.

Introduction to the State Community Health Worker Models Map Tool

October 19, 2018

The National Center for Healthy Housing (NCHH), long recognized as a leader in building and sustaining a healthy homes workforce, is pleased to announce a new instructional video to facilitate use of the interactive State Community Health Worker Models maps prepared by the National Academy of State Health Policies (NASHP). Community health workers (CHW) are frontline workers who are trusted members of and/or have a unique and intimate understanding of the communities they serve. States have turned to CHWs to facilitate care coordination, enhance access to community-based services, and address the social determinants of health; but there are many variations in the ways that these workers are funded, trained, and deliver services to their communities, and even more variation in their involvement in healthy homes. NASHP, with NCHH's and the W.K. Kellogg Foundation's support, conducted a survey in 2017 to highlight state policies related to CHWs' role, certification, and sources of funding. The survey and its corresponding interactive map offers users the opportunity to focus on the policies of individual states, as well as to compare states on key issues, such as scope of practice and the organizational networks and agencies that support CHWs. A special supplemental survey captures CHW roles in asthma education and trigger management and lead poisoning prevention. It also highlights variations in the use of Medicaid and other funding to support that work.

Innovative Community Health Worker Strategies: Medicaid Payment Models for Community Health Worker Home Visits

December 1, 2017

Due to mounting evidence that community health workers (CHWs) can improve health outcomes, increase access to health care, and control medical costs, states are increasingly engaging their CHW workforce to replicate those successes at the state level. However, the policies and programs that regulate and pay for CHWs differ dramatically across states, and states facing difficulties advancing CHW initiatives can gain insights from the experiences of other programs across the country.The National Academy for State Health Policy (NASHP) recently up-dated its State Community Health Worker Models Map, and is currently identifying innovative state strategies that have helped CHW initiatives meet their goals. This case study, which explores payment models for CHWs conducting home visits in Minnesota, New York, Utah, and Washington State, is the second in a series of products that highlight those CHW program strategies.

Innovative Community Health Worker Strategies: My Health GPS in Washington, DC, Seeks to Achieve Sustainable Funding and Whole-Person Care

November 1, 2017

Due to mounting evidence that community health workers (CHWs) can improve health outcomes, increase access to health care, and control medical costs, states are increasingly engaging their CHW workforce to replicate those successes at the state level. However, the policies and programs that regulate and pay for CHWs differ dramatically across states, and states facing difficulties advancing CHW initiatives can gain insights from the experiences of other programs across the country.The National Academy for State Health Policy (NASHP) recently updated its State Community Health Worker Models Map and is currently identifying innovative state strategies that have helped CHW initiatives meet their goals. This case study, which explores My Health GPS in Washington, DC, is the first in a series of NASHP products that highlight those CHW program strategies.

Transforming the Workforce to Provide Better Chronic Care: The Role of Nurse Care Managers in Rhode Island

August 7, 2014

This series explores the evolution of primary care systems to better meet the needs of consumers with complex health conditions. It demonstrates that changes in the workforce are required to empower consumers to better manage their health.The series is a collaboration of the National Academy for State Health Policy and the AARP Public Policy Institute. We recognize that it takes a team of skilled professionals to deliver improved chronic care. In this series, we focus on how registered nurses -- who make up the largest segment of the health care workforce -- are being deployed in ambulatory delivery systems to take on new roles. Future series will focus on other members of the health care team.We selected six initiatives that offer replicable policy strategies to develop, implement, and sustain patient-centered approaches to care. Each case study highlights one of these initiatives and provides policy recommendations and an "on-the-ground" look at the work of its nurses.

Paving the Way to Simpler: Experiencing from Maximizing Enrollment States in Streamlining Eligibility and Enrollment

February 19, 2014

Since 2009, the eight states (Alabama, Illinois, Louisiana, Massachusetts, New York, Utah, Virginia, and Wisconsin) participating in the Robert Wood Johnson Foundation's Maximizing Enrollment program have worked to streamline and simplify enrollment systems, policies, and processes for children and those eligible for health coverage in 2014. The participating states aimed to reduce enrollment barriers for consumers and administrative burdens in processing applications and renewals for staff by making improvements and simplifications at every step of the enrollment process. Although the states began their work before the enactment of the Affordable Care Act (ACA), their efforts positioned them well for implementation in 2014, and offer experiences and lessons that other states may find useful in their efforts to improve efficiency, lower costs, and promote responsible stewardship of limited public resources.

Identification and Assessment of Children and Youth with Special Health Care Needs in Medicaid Managed Care: Approaches from Three States

February 13, 2014

Increasingly, states are relying on managed care delivery systems to serve Medicaid enrollees that have historically been exempt from enrollment in managed care, such as children and youth with special health care needs (CYSHCN). The federal Medicaid managed care regulations establish the broad requirements for states to identify and assess individuals with special health care needs. However, little has been recently documented about specific state policies or procedures for identifying and assessing CYSHCN. This reportlooks at such approaches in three states -- California, Massachusetts and Michigan -- and includes some promising practices states may consider in implementing Medicaid managed care for this vulnerable population.

Building Medical Homes: Lessons From Eight States With Emerging Programs

December 2, 2011

Profiles states' progress in developing and implementing medical home programs, strategies to encourage primary care providers' adoption, and states' ability to convene stakeholders, help improve and evaluate performance, and address antitrust concerns.

Developing Federally Qualified Health Centers Into Community Networks to Improve State Primary Care Delivery Systems

May 5, 2011

Presents case studies of states reducing Medicaid beneficiaries' costly hospital visits by helping FQHCs and primary care providers collaborate to offer community-based medical homes and access to services. Explores the 2010 healthcare reform's impact.

Medicaid's Role in the Health Benefits Exchange: A Road Map for States

March 31, 2011

Examines issues for integrating Medicaid into the administration, operation, and coverage continuum of insurance exchanges. Discusses eligibility, enrollment, and outreach; contracting, standards, and requirements; benefits design; and infrastructure.

Maximizing Enrollment for Kids: Results From a Diagnostic Assessment of Enrollment and Retention in Eight States

February 28, 2010

Examines strengths, challenges, and areas for improvement in Medicaid and Children's Health Insurance Plan enrollment and retention systems, policies, and procedures for children in eight grantee states. Outlines best practices in simplifying processes.