Meaningful partnerships with youth with special health care needs and families of children with special health care needs can help Medicaid agencies better support youth and families in meeting their goals for improved health and well-being. To understand the broad rang... more
This report from the Massachusetts Medicaid Policy Institute (MMPI), authored by Suzanne Gore of the Center for Health Care Strategies (CHCS), outlines opportunities for Massachusetts to explore new innovations in care delivery and program design for MassHealth benefici... more
In May 2012, the Department of Health and Human Services (HHS) released proposed regulatory language for implementing the Medicaid primary care rate increase under Section 1902(a)(13) of the Affordable Care Act (ACA). The provision was designed to encourage physicians t... more
The Affordable Care Act (ACA) will expand access to health insurance for nearly all Americans. It also supports longer-term goals of health system transformation, aimed at providing efficient, high-quality health care. That transformation is possible only when people ha... more
States expanding Medicaid under the Affordable Care Act can include dental coverage in their alternative benefit plan for low-income adults. Key considerations for states in deciding whether and how to offer dental benefits include the state's perceived value of oral he... more
Many people in the U.S. struggle to access mental health and substance use care. In response, the Certified Community Behavioral Health Clinic (CCBHC) model was created to improve access to evidence-based, person-centered, and integrated care. Beginning in 2017, CCBHC ... more
States and territories increasingly recognize Medicaid’s critical role in advancing health equity and are developing strategic plans to address health equity within their Medicaid programs. Given the fast-paced nature of state work, however, Medicaid agencies do not ... more
Out of approximately one million people with disabilities enrolled in California's Medi-Cal program, only 20 percent are enrolled in managed care. In January 2005, Governor Schwarzenegger proposed expanding mandatory managed care for people with disabilities. The Califo... more
Between 1997 and 2002, the George Washington University School of Public Health and Health Services (GWU) published Negotiating the New Health System: A Nationwide Study of Medicaid Managed Care Contracts. This first national analysis of Medicaid managed care contracts ... more
The New Jersey Smiles quality improvement framework outlined in this project change package describes interventions designed to increase the number of children ages 0-5 who receive an annual dental visit and ensure those at highest risk have access to a dental home. ... more
Across the country, states are exploring how to provide more cost-effective managed care for people with disabilities. Those who have embraced Medicaid managed care for this population believe it can deliver better access and quality at a more predictable cost. To help ... more
The Center for Health Care Strategies (CHCS) is the primary technical assistance provider and coordinating entity for the three states -- Maryland, Georgia, and Wyoming -- awarded a CHIPRA Quality Demonstration grant by the Centers for Medicare and Medicaid S... more
