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Working With States Focused On Improving Community-Based Long-term Services and Supports: IAP’s Incentivizing Quality and Outcomes Activities

In April, we began working on the Incentivizing Quality and Outcomes component of IAP’s Community Integration through Long-Term Services and Supports (LTSS) program area. We will use IAP to increase states’ understanding of how to use incentives to improve the quality of care and...

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Sharing What We’ve Learned: Resources for States Interested in Reducing Substance Use Disorders

After a year and a half working with Medicaid and behavioral health agencies to develop robust approaches for addressing substance use disorders, we have much to share with states. As described in the Medicaid Innovation Accelerator Program (IAP) High Intensity Learning Collaborative (HILC)...

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Medicaid IAP’s Quality Measurement Efforts and Request for Public Comment on Medicaid Quality Measure Concepts

Medicaid IAP’s quality measurement portfolio is focused on supporting states in the selection, use, and alignment of quality measures related to Medicaid delivery system reform efforts. There are three areas of foci to our IAP quality measurement work, all of which are designed to complement...

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Improving Care for Medicaid Beneficiaries with Complex Needs and High Costs – Sharing Resources and Lessons Learned

In the July 24, 2013 Center for Medicaid and CHIP Services Information Bulletin , we described Medicaid “superutilizers” or Beneficiaries with Complex Needs and High Costs (BCNs) as Medicaid beneficiaries who because of their health and/or social conditions, are likely to experience...

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WA-20-0013

Addresses supplemental payments for transportation services in case of a governor-declared state emergency (such as the current COVID-19 outbreak), when the Medicaid agency determines it is appropriate

WA-20-0010

Updates the payment for professional services in case of a governor-declared state emergency (such as the current COVID-19 outbreak), when the Medicaid agency determines it is appropriate. This SPA also ensures payment for professional services provided via telephone services and /or online digital evaluation and management services at the same rates as for professional services provided face-to-face or via telemedicine, to support the delivery of health care services during a state of emergency.

OK-19-0028

Revises the payment methodology in Acute Level 2 settings of private psychiatric hospitals and general
hospitals with psychiatric units and in psychiatric residential treatment facilities (PRTFs), to allow an additional patient-specific specialty add-on per diem rate of $210 for children with specialized treatment needs