As part of the state-federal partnership in administering the Medicaid program, the Centers for Medicaid and CHIP Services (CMCS) issues technical assistance in the form of letters to State Medicaid Directors, Informational Bulletins, Issue Briefs, and Frequently Asked Questions (FAQs) to communicate with states and other stakeholders regarding operational issues related to Medicaid.
This State Medicaid Directors letter provides guidance on the implementation of section 1945A of the Social Security Act (“the Act”), enacted as part of the Medicaid Services Investment and Accountability Act of 2019, which authorizes states to cover an optional health home state plan benefit for Medicaid-eligible children with medically complex conditions.
Health Home Core Set Measures for 2022
This Information Bulletin announces the 2022 Health Home Core Set Measures for 2022. The Centers for Medicare & Medicaid Services (CMS) worked with Mathematica’s Annual Core Set Review Workgroup to review the Health Home Core Set and to identify ways to improve it resulting in the addition of two measures; Colorectal Cancer Screening and Follow-Up After Emergency Department Visit for Mental Illness.
Guidance on Coordinating Care Provided By Out-of-State Providers for Children with Medically Complex Conditions
This Informational Bulletin and accompanying guidance document provides a description of best practices and other implementation considerations related to coordination of care from out-of-state providers for children with medically complex conditions. These best practices and other considerations were informed by public comments received in response to a Request for Information (RFI) issued by CMS in January 2020, in accordance with section 1945A(e)(2) of the Act.
Best Practices for Designing and Implementing an SUD-focused Health Homes State Plan Amendment
This report provides a description of best practices for designing and implementing an SUD-focused health homes state plan amendment (SPA). The issuance of these best practices is required under section 1006(a)(C) of the Support for Patients and Communities Act which states that, “Not later than October 1, 2020, the Secretary shall make publicly available on the internet website of the Centers for Medicare & Medicaid Services best practices for designing and implementing an SUD-focused State plan amendment, based on the experiences of States that have State plan amendments approved under this section that include SUD-eligible individuals.”