Bringing Accountable Care To Medicaid Susan E. Birch, MBA, BSN, RN Executive Director, Colorado Department of Health Care Policy & Financing
|
|
|
- Shannon Bennett
- 5 years ago
- Views:
Transcription
1 Bringing Accountable Care To Medicaid Susan E. Birch, MBA, BSN, RN Executive Director, Colorado Department of Health Care Policy & Financing 1
2 Agenda Colorado Overview Accountable Care Collaborative Program Structure Regional Care Organizations Primary Care Providers Statewide Data and Analytics Results 2012 Annual Report 2013 Annual Report Future of the Program Medicaid Expansion Expanding coverage & improving value 2
3 Governor s State of Health: Four Focus Areas
4 Our mission: Improving health care access and outcomes for people we serve while demonstrating sound stewardship of financial resources 4
5 Working Together for Colorado Administers the Medicaid and CHP+* as well as a variety of other programs for Colorado's lowincome individuals, families, and persons with disabilities. Supported by OIT.** Administers programs that seek to improve health outcomes through the promotion of health, wellness and prevention. Supported by OIT. ** Administers assistance programs such as food and cash assistance that improve the safety, independence and well being of Coloradans. Also works closely with HCPF on the coordination of behavioral health and substance abuse benefits. Regulates insurance industry to ensure companies follow the laws and can afford to pay claims. Works with consumers to answer questions, help them understand their insurance and ensure they receive the benefits for which they have paid. Health Insurance Marketplace for individuals, families and small employers to compare health plan options, apply for insurance affordability programs and to buy health insurance and use new financial help to reduce the cost of insurance. Supported by OIT. ** Supported by OIT. ** *CHP+ is the Child Health Plan Plus **OIT is the Governor's Office of Information Technology
6 Colorado Medicaid Expansion & Marketplace Marketplace > 400% FPL Marketplace > % FPL* CHP+ > % FPL Medicaid < 133% FPL Marketplace > % FPL* CHP+ > % FPL Medicaid < 185% FPL Marketplace > % FPL* Medicaid < 133% FPL Children Pregnant Women Adults * Advanced Premium Tax Credits and Cost Sharing Reductions 6
7 Historical Model: Before Accountable Care Collaborative???? 7
8 New Model: Accountable Care Collaborative Our Mission: Improving health care access and outcomes for the people we serve while demonstrating sound stewardship of financial resources
9 Components Regional Care Collaborative Organizations (RCCOs 7) Primary Care Providers (PCPs) Statewide Data and Analytics Contractor (SDAC) 9
10 10
11 Regional Care Organizations Achieve health & financial outcomes Ensure comprehensive care coordination, Medical Home level of care Network Development/Management Provider Support Medical Management & Care Coordination Accountability/Reporting
12 Primary Care Providers Serves as Medical Home Member/family centered Whole person oriented Coordinated Promotes client self management Care provided in a culturally sensitive and linguistically sensitive manner Accessible
13 Statewide Data and Analytics Data Repository Data Analytics & Reporting Web Portal & Access Accountability & Continuous Improvement 13
14 Client Success Story Adiabetic male ACC member was unable to transfer his Food Stamps from one county to another. As a result the client began dumpster diving in order to eat. Not only did this new diet exacerbate his diabetes he also contracted bed bugs from the dumpsters themselves. As a sufferer of sleep apnea he was forced to sleep in a recliner, however due to the bed bugs the recliner had to be thrown away and the patient had to sleep on the floor. With both of his conditions acting up, he often frequented the ER. After uncovering the needs of the client, the RCCO was able to transfer his Food Stamps from one county to another and through the help of local charities they were able to get him a new recliner. He has not gone to the ER since. 14
15 Accountable Care Collaborative 2013 Goals Enrollment 200,000 Performance Incentives Medicare Medicaid Enrollees Implementation with CMS approval HB Implementation 2013 Results By June 2013, enrollment at 352,236 $1.1M given to Providers and RCCOs for meeting performance metrics Submitted implementation plan in May Waiting on CMS approval Rocky Mountain Health Plans pilot project selected in competitive process. Pilot will begin in 2014
16 What s Ahead for the ACC? ACC 5 Point Plan 16
Affordable Care Act in Colorado
Affordable Care Act in Colorado Update on Implementation Chris Underwood Colorado Department of Health Care Policy & Financing 1 Agenda Overview of the Affordable Care Act (ACA) Who Does What? Changes
Colorado Medicaid Update
Colorado Medicaid Update Colorado Welfare Fraud Council and Social Services Technical and Business Staff Conference April 6, 2016 Susan E. Birch, MBA, BSN, RN, Executive Director 1 Presentation Agenda
Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans. Senate Finance Committee May 14, 2009
Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans Senate Finance Committee May 14, 2009 1 Introduction Goals of proposed policy options To expand affordable health
The Child Advocate s Guide to the Bevin Administration s 1115 Medicaid Waiver Proposal
The Child Advocate s Guide to the Bevin Administration s 1115 Medicaid Waiver Proposal The Bevin Administration is asking the federal government specifically, the Centers for Medicare and Medicaid Services,
The Child Advocate s Guide to the Bevin Administration s 1115 Medicaid Waiver Proposal
The Child Advocate s Guide to the Bevin Administration s 1115 Medicaid Waiver Proposal The Bevin Administration is asking the federal government specifically, the Centers for Medicare and Medicaid Services,
Flexibility in the Affordable Care Act: A Georgia Opportunity
Flexibility in the Affordable Care Act: A Georgia Opportunity Health Care Unscrambled: A Look Ahead to the 2014 Legislative Session Georgians for a Healthy Future January 16, 2014 Carolyn Ingram, Senior
The Patient Protection and Affordable Care Act in Colorado
The Patient Protection and Affordable Care Act in Colorado Colorado Center on Law and Policy 789 Sherman St., Suite 300, Denver, CO 80203 303-573-5669 September 20, 2013 The Problem 50 million uninsured
Jackie Prokop, RN, MHA Director Program Policy Division Medical Services Administration Michigan Department of Health and Human Services
Jackie Prokop, RN, MHA Director Program Policy Division Medical Services Administration Michigan Department of Health and Human Services March 23, 2016 Overview of the Healthy Michigan Plan (HMP) Federal
Implications of the Affordable Care Act for the Criminal Justice System
Implications of the Affordable Care Act for the Criminal Justice System August 14, 2013 Julie Belelieu Deputy Mental Health Director, Health Policy Center for Health Care Strategies, Inc. Allison Hamblin
KENTUCKY HEALTH: GOVERNOR BEVIN S 1115 MEDICAID WAIVER
KENTUCKY HEALTH: GOVERNOR BEVIN S 1115 MEDICAID WAIVER WHAT IS IT? Kentucky HEALTH is Governor Bevin s signature Medicaid program that stands for Helping to Engage and Achieve Long Term Health. Also called
Statewide Medicaid Managed Care
Statewide Medicaid Managed Care Justin M. Senior Deputy Secretary for Medicaid Agency for Health Care Administration Senate Health Policy Committee March 4, 2015 As requested by the Committee, this presentation
Oklahoma Health Care Authority
Oklahoma Health Care Authority SoonerCare Choice and Insure Oklahoma 1115(a) Demonstration 11-W-00048/6 Application for Extension of the Demonstration, 2016 2018 Submitted to the Centers for Medicare and
Alabama Medicaid. APHCA Compliance Academy and Networking Forum. May 24, 2018
Alabama Medicaid APHCA Compliance Academy and Networking Forum May 24, 2018 ROBERT MOON, MD CHIEF MEDICAL OFFICER ALABAMA MEDICAID AGENCY 1 AGENDA Medicaid Overview Political Environment Pivot Plan Questions
Update on Florida Designated State Health Program Project
Update on Florida Designated State Health Program Project Beth Kidder Deputy Secretary for Medicaid Presented to: House Health Care Appropriations Subcommittee November 15, 2017 1 Background: Legislative
Health Care Reform: An Update on California. Kerry Landry, MPH Coverage Programs Specialist February 24 th, 2012
Health Care Reform: An Update on California Kerry Landry, MPH Coverage Programs Specialist February 24 th, 2012 1 Agenda 1. Overview of the Affordable Care Act 2. Focus on Medicaid and Public Coverage
Who Remains Uninsured in Colorado and Why?
COLORADO HEALTH ACCESS SURVEY SURVEY SNAPSHOT Who Remains Uninsured in Colorado and Why? OCTOBER 2016 Colorado s insured rate is at an all-time high. More than 93 percent of Coloradans had health insurance
Federally Qualified Health Center / Rural Health Clinic Prospective Payment System Plus Reimbursement Methodology
Federally Qualified Health Center / Rural Health Clinic Prospective Payment System Plus Reimbursement Methodology Review and Research Report Submitted by: JSI Research & Training Institute, Inc. February
Consumer Perspective on the Health Insurance Marketplace and Medicaid Expansion. Laval Miller-Wilson Temple University School of Law April 20, 2013
Consumer Perspective on the Health Insurance Marketplace and Medicaid Expansion Laval Miller-Wilson Temple University School of Law April 20, 2013 PHLP: Oldest & Only Non-Profit Law Firm Focused Exclusively
JBC staffer, Eric Kurtz, provided an overview of the HCPF budget, noting a few key points and tables/charts:
Joint Budget Committee Briefing for Department of Health Care Policy and Financing December 8, 2015 Prepared by Jennifer Miles, Miles Consulting: jennifer@milesgovtrelations.com The JBC staff for HCPF
CMS Medicaid and CHIP Eligibility Changes Under the Affordable Care Act Proposed Rule (CMS-2349-P) Section-By-Section Summary -- September 27, 2011
MEDICAID 431.10, 431.11 Single State Agency. Organization for Administration. Modifies existing regulations to allow government operated Exchanges to make Medicaid eligibility determinations. Sets forth
Colorado s Eligible but Not Enrolled Population Continues to Decline Another Drop During Second Year of ACA
Colorado s but Not Enrolled Population Continues to Decline Another Drop During Second Year of ACA APRIL 2017 The number of uninsured Coloradans who did not enroll in Medicaid or Child Health Plan Plus
Patient-Centered Medical Homes and the Health of Ohio s Adults and Children
Patient-Centered Medical Homes and the Health of Ohio s Adults and Children Thomas Wickizer, Kenneth Steinman, Abigail Shoben, Deena Chisolm, Jeff Biehl, Lauren Phelps #OMAS2015 1 Please note: This study
Robin Rudowitz, Associate Director, Kaiser Commission on Medicaid and the Uninsured The Henry J. Kaiser Family Foundation
Medicaid Overview Robin Rudowitz, Associate Director, Kaiser Commission on Medicaid and the Uninsured The Henry J. Kaiser Family Foundation Council of State Governments / Medicaid Leadership Policy Academy
Eligibility Determinations for Insurance Affordability Programs
Eligibility Determinations for Insurance Affordability Programs The common goal for both Connect for Health Colorado and HCPF is to quickly and accurately move Coloradans and their families to the appropriate
Understanding the Health Insurance Marketplace. August 2013
Understanding the Health Insurance Marketplace August 2013 Objectives This session will help you Explain the Health Insurance Marketplace Identify who will benefit Define who is eligible Explain the enrollment
ValueOptions Presents: Colorado Medicaid eligibility and YOU. Presenter: Amie Adams, LMFT Director of Clinical Services, Value Options Colorado
ValueOptions Presents: Colorado Medicaid eligibility and YOU Presenter: Amie Adams, LMFT Director of Clinical Services, Value Options Colorado 1 Topics Authorizations and Eligibility Expectations for Provider
Kids, Congress and Colorado: The Future of CHP+
Kids, Congress and : The Future of CHP+ IMPLICATIONS OF UNCERTAIN FUNDING AUGUST 2017 The future of s Child Health Plan Plus or CHP+ is uncertain. Federal funding for the program, which provides health
UNIVERSAL HEALTHCARE COUNCIL 2013 OVERVIEW OF THE AFFORDABLE CARE ACT
UNIVERSAL HEALTHCARE COUNCIL 2013 OVERVIEW OF THE AFFORDABLE CARE ACT Introduction The Patient Protection and Affordable Care Act (ACA) was signed into federal law on March 23, 2010. While many reforms
U.S. Senate Finance Committee Coverage Policy Options Detailed Section by Section Summary May 18, 2009
U.S. Senate Finance Committee Coverage Policy Options Detailed Section by Section Summary May 18, 2009 This document outlines the 61-page report, Expanding Health Care Coverage: Proposals to Provide Affordable
Health First Colorado (Colorado s Medicaid Program) for Justice Involved Adults
Health First Colorado (Colorado s Medicaid Program) for Justice Involved Adults A Resource Guide for Criminal Justice Professionals July 2016 COLORADO CRIMINAL JUSTICE REFORM COALITION COLORADO CENTER
Health Law PA News. Healthy PA Proposal Raises Many Concerns. A Publication of the Pennsylvania Health Law Project. In This Issue. Subscribe...
Health Law PA News A Publication of the Pennsylvania Health Law Project Volume 17, Number 1 Statewide Helpline: 800-274-3258 Website: www.phlp.org In This Issue DPW Still Experiencing Backlog in MAWD Premium
Oregon Health Authority - Agency Totals
Oregon Health Authority - Agency Totals 2013-15 Actual 2015-17 Legislatively Approved* Current Service Level Governor's Recommended General Fund 1,933,379,158 2,169,921,934 3,190,659,426 2,167,928,460
Navigators and the Affordable Care Act
Navigators and the Affordable Care Act Stacey Pogue, Senior Policy Analyst, Center for Public Policy Priorities pogue@cppp.org 512-823-2863 Webinar February 22, 2013 CPPP.org Webinar Instructions You must
Frequently Asked Questions on Exchanges, Market Reforms and Medicaid
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-15 Baltimore, Maryland 21244-1850 Date: December 10, 2012 Subject: Frequently Asked
Frequently Asked Questions Contents
Frequently Asked Questions Contents Why HIP 2.0?... 2 Who is impacted?... 5 How does HIP 2.0 work?... 6 What s next?... 13 Why HIP 2.0? 1. What is HIP 2.0? HIP 2.0 is the State of Indiana s plan to improve
Medicaid Managed Care 101: Building a Common Understanding for the Healthy Students, Promising Futures Learning Collaborative
Medicaid Managed Care 101: Building a Common Understanding for the Healthy Students, Promising Futures Learning Collaborative March 30, 2017 Lena O Rourke, on behalf of Healthy Schools Campaign Ashley
Introducing Value-Based Care Analytics
Introducing Value-Based Care Analytics June 28, 2018 Donna Maddox, RN Director, Product Management GE Healthcare 2018 General Electric Company All rights reserved. This does not constitute a representation
Public Meeting Agenda. 2. Presentation 3. Public Comment Period 4. Adjourn
1115 Waiver for the Medically Needy Component of Statewide Medicaid Managed Care 1. Welcome Public Meeting Agenda 2. Presentation 3. Public Comment Period 4. Adjourn 1 Why is the Agency holding this Public
Medicaid s Future. National PACE Association Spring Policy Forum. MaryBeth Musumeci
Medicaid s Future National PACE Association Spring Policy Forum MaryBeth Musumeci March 20, 2017 Figure 2 The basic foundations of Medicaid are related to the entitlement and the federal-state partnership.
Key Medicaid, CHIP, and Low-Income Provisions in the Senate Bill Patient Protection and Affordable Care Act (Released November 18, 2009)
Key Medicaid, CHIP, and Low-Income Provisions in the Senate Bill Patient Protection and Affordable Care Act (Released November 18, 2009) On November 18, 2009, the Senate released its health care reform
Oklahoma SoonerCare (Medicaid) and the Affordable Care Act (ACA)
Oklahoma SoonerCare (Medicaid) and the Affordable Care Act (ACA) Cindy Roberts, CPA OHCA Deputy CEO Buffy Heater, MPH Director of Planning & Development SoonerCare Today SoonerCare Landscape -Today Insured
Subpart D MCO, PIHP and PAHP Standards Availability of services.
Center for Medicare & Medicaid Services (CMS) Medicaid and CHIP Managed Care Final Rule (CMS 2390-F) Fact Sheet: Subpart D and E of 438 Quality of Care Each state must ensure that all services covered
Enrolling in Coverage Through the New Health Insurance Marketplaces
Enrolling in Coverage Through the New Health Insurance Marketplaces! Elaine Saly, Health Policy Analyst Claire McAndrew, MPH, Senior Health Policy Analyst Jessica Hiemenz National Consumer Law Center August
Public Notice for Indiana HIP Waiver Renewal
Indiana Family and Social Services Administration Notice of Public Hearing and Public Comment Period Pursuant to 42 CFR Part 431.408, notice is hereby given that FSSA will present amendments to the HIP
How are the State, Managed Medicaid Organizations and Providers Preparing for Medicaid Value-Based Payments?
How are the State, Managed Medicaid Organizations and Providers Preparing for Medicaid Value-Based Payments? 1:10 PM 2:10 PM Steering Toward Success: Achieving Value in Whole Person Care September 25 and
Enrollment, Eligibility and Disenrollment
Section 2. Enrollment, Eligibility and Disenrollment Enrollment Enrollment in Ohio s Marketplace Program The Centers for Medicare and Medicaid Services (CMS) is the program which implements the Health
HCR FAQ. Covered California Individual and Family Coverage. What is Covered California? What is Obamacare? Are they the same?
HCR FAQ Covered California Individual and Family Coverage What is Covered California? What is Obamacare? Are they the same? Covered California is a new, easy-to-use marketplace established for California
Health Plan and Provider Collaboration Really?
Health Plan and Provider Collaboration Really? Ken Janda President and CEO Community Health Choice, Inc. February 26, 2018 1 About Community Community Health Choice, Inc. (Community) is a Texas nonprofit
1-866-COVERTN LAUNCHING MARCH
Affordable, portable, basic health coverage for small business. www.covertn.gov or 1-866-COVERTN LAUNCHING MARCH 2007 Affordable Premiums shared by employer, employee and the state, each paying 1/3 Individual
PERFORMANCE AUDIT REPORT
PERFORMANCE AUDIT REPORT Medicaid: Evaluating KanCare s Effect on the State s Medicaid Program A Report to the Legislative Post Audit Committee By the Legislative Division of Post Audit State of Kansas
Medicaid Accountable Care Organization Programs: State Profiles
BRIEF OCTOBER 2015 Medicaid Accountable Care Organization Programs: State Profiles By Jim Lloyd, Rob Houston, and Tricia McGinnis, Center for Health Care Strategies S IN BRIEF States are implementing accountable
Health Care Reform 2010
Health Care Reform 2010 Transitioning Health Care for Oklahoma s Children and Families June 18, 2010 Tricia Brooks After a Wild Ride: Health Reform is the Law of the Land Enormous shift in public and social
Open Enrollment is here!
Navigating the Federal Marketplace AFFORDABLE CARE Open Enrollment is here! Reminders On November 20 at 9:30 AM ET, IPHCA is hosting a call with Matt Cesnik from FSSA again. CMS has released guidance on
Covering the Low-Income, Uninsured in Oklahoma: Recommendations for a Medicaid Demonstration Proposal. Presented to the OHCA Board June 27, 2013
Covering the Low-Income, Uninsured in Oklahoma: Recommendations for a Medicaid Demonstration Proposal Presented to the OHCA Board June 27, 2013 Target Population Prevalence of Select Risk Factors Among
OVERVIEW OF THE AFFORDABLE CARE ACT. September 23, 2013
OVERVIEW OF THE AFFORDABLE CARE ACT September 23, 2013 Outline The New Continuum of Coverage Medicaid and CHIP Are Changing The New Marketplaces Insurance Affordability Programs Shared Responsibility Requirement
Maryland Health Benefit Exchange. Grand Rounds Presentation. Rebecca Pearce Executive Director, MHBE. October 17, 2012
Maryland Health Benefit Exchange Grand Rounds Presentation Rebecca Pearce Executive Director, MHBE October 17, 2012 A service of the Maryland Health Benefit Exchange Today s Agenda! Background on Maryland
Insurance Impacts Improving existing insurance coverage Expanding coverage
Demystifying Health Care Reform Camille Dobson, MPA, CPHQ, Technical Director, Managed Care Policy Barbara Dailey, RN, BSN, MS, CPHQ, Director, Division of Quality, Evaluation, and Health Outcomes Center
11/1/2016. Molina Healthcare of Michigan. Prior Authorizations. Third Party Payer Day Julie Hurst. Director, Provider Contracting and Services
Third Party Payer Day Julie Hurst 1 Director, Provider Contracting and Services November 11, 2016 Molina Healthcare of Michigan 2000 2006 Awarded Medicaid contract as licensed HMO and begin serving 22,000
SoonerCare. Insured (2.2M) and. Uninsured (500K) $54, % FPL 250% FPL $45, % FPL $36, % FPL $33,874 $24, % FPL 100% FPL $18,310
Oklahoma SoonerCare (Medicaid) and the Affordable Care Act (ACA) Cindy Roberts, CPA OHCA Deputy CEO Buffy Heater, MPH Director of Planning & Development SoonerCare Today SoonerCare Landscape Today Annual
. ACA & Marketplace updates for OE 6
. ACA & Marketplace updates for OE 6 Presented By: Consumers for Affordable Health Care Date: October 1, 2018 www.mainecahc.org Our mission: To Advocate The Right To Quality, Affordable Health Care For
Medicaid & CHIP: November 2014 Monthly Applications, Eligibility Determinations and Enrollment Report January 30, 2015
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 Medicaid & CHIP: November 2014 Monthly Applications,
SUBMISSION OF PUBLIC COMMENTS:
Request for Information: Performance Indicators for Medicaid and Children s Health Insurance Program (CHIP) Business Functions: Solicitation of Public Input This solicitation seeks public input to aid
Medicaid & CHIP: October 2014 Monthly Applications, Eligibility Determinations and Enrollment Report December 18, 2014
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 Medicaid & CHIP: October 2014 Monthly Applications,
Healthy Indiana Plan (HIP) Provider Orientation
Serving Hoosier Healthwise, Healthy Indiana Plan Healthy Indiana Plan (HIP) Provider Orientation Agenda Program overview Benefit coverage Eligibility HIP offerings Medically frail and various member categories
Health Care Reform, Substance Abuse Prevention and Treatment. DAS Professional Advisory Committee Meeting June 18, 2010
Health Care Reform, Substance Abuse Prevention and Treatment DAS Professional Advisory Committee Meeting June 18, 2010 The Patient Protection and Affordable Care Act The Patient Protection and Affordable
COVERED CALIFORNIA: THE GOOD, THE BAD & THE UNDEFINED FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS
1 COVERED CALIFORNIA: THE GOOD, THE BAD & THE UNDEFINED FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Ann-Louise Kuhns President & CEO California Children s Hospital Association Health Care Reform: The Basics
National Health Care Reform: Impact on Oklahoma
National Health Care Reform: Impact on Oklahoma Garth L. Splinter, MD, MBA State Medicaid Director Oklahoma Health Care Authority March, 2011 www.okhca.org 1 United States Uninsured 50.7 million people
Univera Community Health Participating Provider Manual
Univera Community Health Participating Provider Manual 1.0 Introduction 1.1 About the Manual The Univera Community Health Participating Provider Manual is a reference and source document for physicians
LEGAL CONCERNS FOR POLIO SURVIVORS:
LEGAL CONCERNS FOR POLIO SURVIVORS: A Benefits Primer with an emphasis on Medicare and the Affordable Care Act Martha C. Brown Martha C. Brown & Associates, LLC 220 W. Lockwood, Suite 203 ST. Louis, MO
In accordance with Act 124 of 2018 (H.914)
State of Vermont Green Mountain Care Board 144 State Street Montpelier VT 05620 Report to the Legislature REPORT ON THE GREEN MOUNTAIN CARE BOARD S PROGRESS IN MEETING ALL-PAYER ACO MODEL IMPLEMENTATION
HEALTH POLICY COLLOQUIUM BRIEF
Muskie School of Public Service HEALTH POLICY COLLOQUIUM BRIEF Examining MaineCare s Coverage Options Under the Affordable Care Act Erika Ziller PhD and Trish Riley, Muskie School of Public Service March
Comments from the Children s Defense Fund: Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans
May 22, 2009 Comments from the Children s Defense Fund: Expanding Health Care Coverage: Proposals to Provide Affordable Coverage to All Americans Contact: Alison Buist, PhD Director, Child Health Children
Medicaid Eligibility and Benefits
Medicaid Eligibility and Benefits Eligibility Information Click here to go to the Health First Colorado (Colorado s Medicaid Program) homepage Source: Health First Colorado website, February 2018 Eligibility
AFFORDABLE CARE ACT FAQ
AFFORDABLE CARE ACT FAQ What is the Healthcare Insurance Marketplace? The Marketplace is a new way to find quality health coverage. It can help if you don t have coverage now or if you have it but want
Integrated Care Program and Dual Eligible Transition. Rebecca Thompson Benefits Advocacy Coordinator Progress Center for Independent Living
Integrated Care Program and Dual Eligible Transition Rebecca Thompson Benefits Advocacy Coordinator Progress Center for Independent Living Basics Managed Care Program through the Illinois Department of
HEALTH FLEX PLAN PROGRAM
HEALTH FLEX PLAN PROGRAM Annual Report January 2016 Agency for Health Care Administration 2727 Mahan Drive, MS 45 Tallahassee, FL 32308 1-850-412-4502 http://www.floridahealthfinder.gov http://ahca.myflorida.com
State HIFA Waiver Plans
Waiver Plans State Arizona Yes Approved 12/12/01 Effective dates: 11/1/01 and 10/1/02 California Yes Approved 1/29/02 Expansion: Extend coverage to parents with incomes between 100% and 200% FPL; non-parents
Arkansas Health Care Independence Program Presentation to Arkansas Plan Management Advisory Committee. May 10, 2013
It Arkansas Health Care Independence Program Presentation to Arkansas Plan Management Advisory Committee May 10, 2013 Pertinent Arkansas Events to Date February 22, 2013 Sebelius Meeting March 13, 2013
The New Responsibility to Secure Coverage: Frequently Asked Questions
The New Responsibility to Secure Coverage: Frequently Asked Questions Introduction The Patient Protection and Affordable Care Act (PPACA) includes a much-discussed requirement that people secure health
Rocky Mountain. Monument Health 2016 INDIVIDUAL & FAMILY PLANS. MK843-A-R08/13/15þ
Rocky Mountain 2016 INDIVIDUAL & FAMILY PLANS MK843-A-R08/13/15þ Rocky Mountain Rocky Mountain Health Plans is Colorado-based and Colorado-focused. We were founded in Grand Junction more than 40 years
Florida Health Insurance Advisory Board Patient Protection and Affordable Health Care Act
Florida Health Insurance Advisory Board Patient Protection and Affordable Health Care Act Mary Beth Senkewicz Deputy Commissioner Life & Health May 4, 2010 1 Health Care Reform Enacted On March 23, 2010,
SHO # ACA # 22
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop S2-26-12 Baltimore, Maryland 21244-1850 SHO # 12-003 ACA # 22 December 28, 2012 RE: Conversion
5/16/2013. Local Florida KidCare Coalitions Conference and Training May 21 and 22, 2013
Local Florida KidCare Coalitions Conference and Training May 21 and 22, 2013 On March 23, 2010 President Obama signed the Patient Protection and Affordable Care Act (ACA) into law. The intent of the ACA
Understanding the Health Insurance Marketplace. September 2013
Understanding the Health Insurance Marketplace September 2013 1. Health Insurance Marketplace To provide qualified individuals and employers Access to affordable coverage options Ability to buy certain
FREQUENTLY ASKED QUESTIONS Deferred Action for Childhood Arrivals (DACA) and Restricted Access to Health Care
FREQUENTLY ASKED QUESTIONS Deferred Action for Childhood Arrivals (DACA) and Restricted Access to Health Care AUGUST 29, 2012 For general information on DACA, please go to http://www.nilc.org/faqdeferredactionyouth.html.
Frequently Asked Questions (FAQ s)
Frequently Asked Questions (FAQ s) TABLE OF CONTENTS Topic Page Number I. Applications and Enrollment 1-3 II. Eligibility 3-5 III. HIPP and Bridge Program 5-6 IV. Benefit Package(s) 6 V. Outreach and Education
Changes under ACA for consumers
Changes under ACA for consumers Individual mandate Covers pre-existing conditions No annual or lifetime coverage limits Coverage for children to age 26 Requires coverage of certain preventive care services
The Patient Protection and Affordable Care Act
The Patient Protection and Affordable Care Act George Lyford Colorado Center on Law and Policy 789 Sherman St., Suite 300, Denver, CO 80203 303-573-5669 x310, glyford@cclponline.org Pre-ACA Problem #1:
Goals to Prioritize and Options to Consider to Create a More Direct Pathway to Health Coverage
COLORADO S HEALTH INSURANCE AFFORDABILITY PROGRAMS: Goals to Prioritize and Options to Consider to Create a More Direct Pathway to Health Coverage SEPTEMBER 2016 EXECUTIVE SUMMARY s health insurance affordability
Issue brief: Medicaid managed care final rule
Issue brief: Medicaid managed care final rule Overview In the past decade, the Medicaid managed care landscape has changed considerably in terms of the number of beneficiaries enrolled in managed care
Georgia Medicaid and PeachCare for Kids
Georgia Medicaid and PeachCare for Kids Presentation to: GAMES Meeting Presented by: Jerry Dubberly, Chief Medical Assistance Plans Date: February 5, 2014 0 Mission The Georgia Department of Community
Florida Medicaid Prescribed Drug Service Spending Control Initiatives. For the Quarter October 1, 2017 through December 31, 2017
Florida Medicaid Prescribed Drug Service Spending Control Initiatives For the Quarter October 1, through December 31, Report to the Florida Legislature September 2018 [This page intentionally left blank.]
Moving to Modified Adjusted Gross Income (MAGI)
MAGI Conversion: An Overview Penny Thompson Deputy Director Center for Medicaid and CHIP Services January 7, 2013 Moving to Modified Adjusted Gross Income (MAGI) Beginning on January 1, 2014 states must
Medicaid 101: Michigan Association of Health Plans
Michigan Department of Community Health Director: Nick Lyon Medicaid 101: Michigan Association of Health Plans February 12, 2015 Steve Fitton Medicaid Director 1 2 Medicaid History Condensed Federal legislation
The Affordable Care Act: What Does It Mean for Utah s Medicaid Program?
The Affordable Care Act: What Does It Mean for Utah s Medicaid Program? Katherine Howitt Community Catalyst SOME ASSEMBLY REQUIRED: Making Health Reform Work for Utah October 2010 Presented by: Katherine
Bringing the Affordable Care Act to the Streets
Bringing the Affordable Care Act to the Streets LESSONS LEARNED FROM THE FIRST YEAR OF OUTREACH AND ENROLLMENT MARGARET FLANAGAN, LGSW KATIE LEAGUE, LCSW-C HEALTH CARE FOR THE HOMELESS BALTIMORE, MD What
Medicaid Benefits for Children and Adults: Issues Raised by the National Governors Association s Preliminary Recommendations
Medicaid Benefits for Children and Adults: Issues Raised by the National Governors Association s Preliminary Recommendations July 12, 2005 Cindy Mann Overview The Medicaid benefit package determines which
The Federal Medicaid Agenda: Considerations and Concerns for New York State
1 The Federal Medicaid Agenda: Considerations and Concerns for New York State Prepared for New York Mental Health Association October 19, 2017 Agenda 2 Medicaid in New York Federal Proposals to Alter Medicaid
Patient Protection and Affordable Care Act (PPACA): A Summary of Key Provisions and Implementation Planning in SC March 23, 2011
Patient Protection and Affordable Care Act (PPACA): A Summary of Key Provisions and Implementation Planning in SC March 23, 2011 South Carolina Public Health Institute Mission To promote evidence-based
Information Gathering on Federal and State Benefits: Medicaid and Medicare
Information Gathering on Federal and State Benefits: Medicaid and Medicare January 2016 Introduction In addition to Social Security benefits, many beneficiaries rely on other federal and state benefit