The Affordable Care Act (ACA) gives Medicaid programs the option to create health homes to coordinate and better integrate primary, acute, behavioral health and long-term services and supports for beneficiaries with complex and chronic conditions. Growing evidence sugge... more
As trauma-informed care continues to gain traction, more and more providers are beginning to screen patients for exposure to adverse childhood experiences (ACEs) and trauma. However, variation exists regarding when and how to screen in both adult and pediatric populatio... more
The following are supplementary resources from the toolkit, Improving Asthma Care for Children: Best Practices in Medicaid Managed Care. We thank the health plans, states, and other stakeholders willing to share innovations to benefit Medicaid consumers with asthma acro... more
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Across the country, robust "super-utilizer" programs providing intensive outpatient care management to high-need, high-cost patients are taking root. The term "super-utilizer" describes individuals whose complex physical, behavioral, and social needs are not well met th... more
Behavioral health disorders are among the most prevalent and disabling chronic conditions affecting Medicare-Medicaid beneficiaries. These individuals have complex needs that require closely coordinated services, but misalignments between Medicare and Medicaid often res... more
Substantial oral health-related disparities exist across the United States based on race, ethnicity, geography, income, and insurance status, among others. Medicaid ̶ given its size and diversity of enrollees ̶ has significant opportunities to... more
Through the Serious Mental Illness (SMI) Innovations Project, Pennsylvania's Department of Public Welfare sought to improve the integration of physical and behavioral health services and reduce unnecessary utilization for Medicaid beneficiaries with both mental illness ... more
For more than 40 years, Early and Periodic Screening Diagnostic and Treatment (EPSDT) benefits have provided a critical set of services for Medicaid-enrolled children. With the fiscal pressures on states, the opportunities to enhance EPSDT coverage are significant. T... more
Quality improvement interventions focused on Medicaid beneficiaries with high-risk, high-cost conditions that are associated with avoidable emergency room and inpatient utilization may offer the best opportunities to demonstrate a business case for quality, according to... more
States participating in the Centers for Disease Control and Prevention’s 6|18 Initiative are bringing together Medicaid and public health agency partners to adopt evidence-based prevention strategies for Medicaid populations in six high-oppo... more
Across the country, efforts are underway to better align social and health care delivery systems, create partnerships with community-based organizations (CBOs) to coordinate and deliver services that address health related-social needs (HRSN), and establish sustainable... more
