PPT-Updating the Building Code: Modernizing Medicaid Managed Ca

Tricia Brooks Sarah Somers Kelly Whitener CCF Conference 2015 Overview of proposed Regulations why this Why now 2 Kelly Whitener Why Now The NPRM is the first update to Medicaid and CHIP managed care regulations in over a decade . The Kansas Experience, . From providers, customers and advocates. Audrey Schremmer, Executive Director. Three Rivers Inc., Center for Independent Living . Intro to Centers for Independent Living . CILs’ mission, values, and services promote community living for people with . New Jersey Stakeholder Group Meeting. January 20, 2012. Allison Hamblin, . CHCS. Behavioral Health System Reform: . Why Such a Hotbed of Activity?. It’s all in the numbers…. Top 5% drives 50% of Medicaid spending. HFMA Seminar. February 1, 2017. Agenda. Hospital Inpatient Medicaid Rate Updates. January 1, 2016 Rates. January 1, 2017 Rates. Rebasing of Acute and Exempt Unit/Exempt Hospital Rates. Hospital Quality Pool. . Aaron . Burky. Director, Transitional Operations. Conifer Health Solutions. Agenda Topics. From then until now…... Managed Medicaid Penetration. National. 2002 57.5% 23.1MM recipients. 2011 74.2% 42.3MM recipients. MO HealthNet Oversight Committee . May 16, 2017. DSS Communication Efforts. 2. 3. DSS Communication Efforts. Consumer Advisory Committee (CAC). 4. CAC began in 1995 at the inception of Managed . Care. Payments for Services Provided in Managed . Care. 1. 2. INTRODUCTION TO Medicaid managed care – THE 3 players . FOR SUPPLEMENTAL PAYMENT PURPOSES. The State - enters into a contract with the managed care entity to arrange for the delivery of Medicaid managed care services. Manhattan DD Council . December. . 10, 2015. MANAGED CARE and NYS. State and Federal Government Policy. MRT Mandate. All Medicaid in Managed Care, Except I/DD. National Track Record for I/DD. Implications for Individuals and Families. Rev 9/15Health and Recovery Plans HARPsA new kind of Medicaid Managed Care plan called a Health and Recovery Plan HARPwill provide more services for people with serious mental health and substance use Doctor visits Hospital care Mental Health Services Prescriptions QIs there any cost to me for medical servicesAMedicaid and FAMIS Plus HandbookWhen a person applies for Medical Assistance the p Albany Columbia Fulton Greene Montgomery Orange Putnam Rockland Sullivan Ulster Warren Washington and Westchester Some of you transport enrollees whose managed care plans currently incl Sara Rosenbaum, JD. March 8, 2017. Background. With total Medicaid enrollment approaching 75 million, high interest in delivery and payment reform. Managed care serves as the principal means for health care organization, delivery, and payment within the Medicaid program, increasingly across all beneficiary populations. 1 Continuity of Coverage as States Resume Normal Eligibility and Enrollment Operations ARCHPDATE This communication was printed, published, or produced and disseminated at U.S. taxpayer expense. The i Medicaid cases. Share. of Medicaid Population Covered Under Managed Care in 2020. State. Rank. Managed. Care (%). Pennsylvania. 9. 95.2%. Kentucky. 12. 94.3%. Michigan. 13. 93.8%. OHIO. 26. 86.6%. National. Dental Services . Agenda. General information and updates. Senate Bill 237 updates. Inpatient hospital setting updates. Bundling of x-rays and root canals. Nursing homes and ICF/ID updates. FHQC p. reventive.