Medicaid

 

Medicaid is the nation's primary way of financing and delivering community-based health and long-term services to children and adults with disabilities.  It is the nation's largest health care program, and serves nearly 60 million low-income Americans, including an estimated 9.9 million people with disabilities.  AUCD advocates for the maintenance of the individual entitlement to a full range of Medicaid health and long-term supports and services for all eligible children and adults with disabilities.

 
 

News

 

9/11/2014

President's Committee for People with Intellectual Disabilities Holds 2014 Meeting

Committee now has record number of people with disabilities and many AUCD network members

The President's Committee for People with Intellectual Disabilities held their 2014 meeting September 3-5. The committee how has significantly more members with intellectual disabilities and strong representation from the AUCD network.

 
 

9/8/2014

Virginia's Proposed Medicaid 1115 Waiver

Center for Health Care Strategies calls it a "Step Forward for People with Mental Illness"

Virginia Governor Terry McAuliffe has announced that Virginia's Medicaid agency will initiate an 1115 demonstration wavier request to create a benefit package for people with serious mental illness to have access to both behavioral and primary health services.

 
 

9/2/2014

The Top 5 States Most Likely to Expand Medicaid Next

Governing magazine explores which states will implement the ACA's Medicaid expansion next.

 
 

8/2/2014

CCD Letter on HCBS Regulation Implementation

The Consortium for Citizens with Disabilities Long-Term Services and Supports Task Force sent this letter to Cindy Mann, Deputy Administrator of CMS and head of the Medicaid program, sharing their ideas, concerns, and recommendations regarding the HCBS rule.

pdf File CCD Letter to CMS on HCBS Regulation.pdf [download]
 
 

7/30/2014

Six by '15: Community Living

At least six states will elect to implement the Community First Choice Option so that their Medicaid recipients with disabilities have access to long-term services and supports in the community

The Affordable Care Act included a new Medicaid option for states called Community First Choice. States that take up the option can provide home and community-based services without a waiver or waiting list and receive increased federal financial support for the services. As of the end of 2013, only California and Oregon had been approved to implement the option by the Centers for Medicare and Medicaid Services (CMS). By the end of 2015, the Six by '15 Campaign would like to see four more states join them in implementing the Community First Choice Option and addressing the institutional bias in their Medicaid programs.

 
 
 

Legislation

  • Community Integration Act

    A bill to reverse the institutional bias in Medicaid and ensure that Medicaid beneficiaries have an opportunity to receive care in a home and community-based setting.

 
 

Resources

 

9/8/2014

GAO: HHS's Approval Process for Arkansas Medicaid Expansion Raises Cost Concerns

In approving Arkansas's Medicaid Section 1115 demonstration, the Department of Health and Human Services (HHS) gave the state the authority to test whether providing premium assistance to purchase private coverage offered on the health insurance exchange will improve access to care for individuals newly eligible for Medicaid as a result of the ACA. In this review, the Government Accountability Office found that the "private option" Medicaid expansion may not meet cost neutrality requirements of demonstration waivers.

 
 

8/28/2014

UPDATED: Status of State Action on the Medicaid Expansion Decision

Website  from http://kff.org

A central goal of the Affordable Care Act (ACA) is to significantly reduce the number of uninsured by providing a continuum of affordable coverage options through Medicaid and the Health Insurance Marketplaces. The ACA expands Medicaid coverage for most low-income adults to 138% of the federal poverty level (FPL). Following the June 2012 Supreme Court decision, states face a decision about whether to adopt the Medicaid expansion. This table shows the status of those decisions.

 
 

8/27/2014

Engaging Medicare-Medicaid Enrollees: Insights from Three Financial Alignment Demonstration States

States are enrolling Medicare-Medicaid enrollees in financial alignment demonstrations sponsored by the Centers for Medicare & Medicaid Services. Since dual eligible individuals can opt out of the demonstrations, state policymakers are eager to engage individuals and retain them once enrolled. Doing so will ensure that dually eligible individuals have access to high-quality, integrated services. This webinar explored the lessons learned by three states that have implemented capitated integration models: Massachusetts, Ohio, and Virginia.

 
 
 

Related Links

 

6/1/2011

Kaiser Commission on Medicaid and the Uninsured

The Kaiser Commission on Medicaid and the Uninsured provides information and analysis on health care coverage and access for the low-income population, with a special focus on Medicaid's role and coverage of the uninsured.

 
 

9/10/2010

Centers for Medicare and Medicaid Services

Information on CMS programs