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Health Homes Medicaid

Details: Health Homes are for people with Medicaid who: Have two or more chronic conditions. Have one chronic condition and are at risk for a second. Have one serious and persistent mental health condition. Chronic conditions listed in the statute include mental health, substance abuse, asthma, diabetes, heart disease, and being overweight.

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› Url: https://www.medicaid.gov/medicaid/long-term-services-supports/health-homes/index.html Go Now

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Medicaid Medicaid

Details: Medicaid provides health coverage to millions of Americans, including eligible low-income adults, children, pregnant women, elderly adults and people with disabilities. Medicaid is administered by states, according to federal requirements. The program is funded jointly by states and the federal government.

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› Url: https://www.medicaid.gov/medicaid/index.html Go Now

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Oklahoma Medicaid

Details: voluntarily reported 15 of 24 frequently reported health care quality measures in the CMS Medicaid Adult Core Set. These counts do not include the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Health Plan Survey 5.0H, Adult Version (Medicaid) (CPA-AD) measure.

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› Url: https://www.medicaid.gov/state-overviews/stateprofile.html?state=Oklahoma Go Now

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Health Information Exchange Medicaid

Details: As a nation, we are transforming health care delivery into a system that is patient-centered and value-based. Critical to this transformation is timely interoperable Health Information Exchange (HIE) among a variety of health care stakeholders (clinicians, laboratories, hospital, pharmacy, health …

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› Url: https://www.medicaid.gov/medicaid/data-systems/health-information-exchange/index.html Go Now

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Health Disparities Medicaid

Details: Health disparities are differences in the incidence, prevalence, mortality, burden of diseases, and other adverse health conditions or outcomes that exist among specific population groups in the United States. Health disparities can affect population groups based on race/ethnicity, gender, age, socioeconomic status, geography, sexual orientation, disability, or special health care needs.

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› Url: https://www.medicaid.gov/medicaid/data-systems/health-information-technology/health-disparities/index.html Go Now

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Health Homes Guidance Medicaid

Details: Health Homes Guidance. 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

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› Url: https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-homes-guidance/index.html Go Now

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Personal Health Record Medicaid

Details: The Centers for Medicare & Medicaid Services (CMS) Testing Experience and Functional Tools (TEFT) demonstration program provided funding to grantee states to implement personal health record (PHR) pilots specifically focused on implementing a PHR for beneficiaries of Medicaid home and community-based services (HCBS) programs. Through the PHRs, CMS and states aimed to demonstrate the use …

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› Url: https://www.medicaid.gov/medicaid/long-term-services-supports/teft-program/personal-health-record/index.html Go Now

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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for …

Details: DEPARTMENT OF HEALTH & HUMAN SERVICES . Centers for Medicare & Medicaid Services . 7500 Security Boulevard, Mail Stop S2-14-26 . Baltimore, Maryland 21244-1850 . Disabled and Elderly Health Programs Group . April 03, 2020 . Melody Anthony State Medicaid Director . Oklahoma Health Care Authority . 4345 N. Lincoln Blvd. Oklahoma City, OK 73105

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› Url: https://www.medicaid.gov/state-resource-center/downloads/ok-appendix-k-appvl-ltr.pdf Go Now

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Table of Contents State/Territory Name: Oklahoma

Details: department of health and human services 5. type of plan material (check one) new state plan amendment to be considered as new plan amendment complete blocks 6 thru 10 if this is an amendment (separate transmittal for each amendment) 6. federal statute/regulation citation 7. federal budget impact

› Verified 7 days ago

› Url: https://www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/OK/OK%2019-0037.pdf Go Now

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SoonerCare Demonstration 11 -W-00048/6 §1115(a) Semi

Details: The SoonerQuit Health Promotion Coordinator is dedicated to leading wellness initiatives targeted to SoonerCare members. The objective is to work with partners and providers on integrating wellness within the SoonerCare population and increase acces s to care. The program focuses on

› Verified 6 days ago

› Url: https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ok/soonercare/ok-soonercare-semi-annl-rpt-08302018.pdf Go Now

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Children's Health Insurance Program (CHIP) Medicaid

Details: 9.6 Million Children Enrolled*. The Children’s Health Insurance Program (CHIP) provides health coverage to eligible children, through both Medicaid and separate CHIP programs. CHIP is administered by states, according to federal requirements. The program is …

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› Url: https://www.medicaid.gov/chip/index.html Go Now

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Medicaid Health Homes: An Overview

Details: The health home option waives the Medicaid state plan requirements for state wideness as well as for comparability of services. Therefore, states can target health home enrollment by condition and geography. Thus, states can develop health homes that serve individuals with a particular qualifying condition (e.g., SMI), or area of the state

› Verified 9 days ago

› Url: https://www.medicaid.gov/state-resource-center/medicaid-state-technical-assistance/health-home-information-resource-center/downloads/hh-overview-fact-sheet.pdf Go Now

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Guide to Medicaid Health Home Design & Implementation

Details: This page includes resources to help states plan their health home programs and prepare a health home state plan amendment for submission. The guide includes resources from the Centers for Medicare & Medicaid Services and, select external resources. New resources will be continuously added to help states advance health home models. Health Home Background Resources This section …

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› Url: https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/guide-medicaid-health-home-design-implementation/index.html Go Now

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Details: Page 3 – State Health Official . The TCJA modified the tax filing threshold for most individuals. For tax year 2018, single tax dependents who are under age 65 and not blind must file a federal tax return if any of the following apply for the tax year: 3. 1. Unearned income is more than $1,050; 2. Earned income is more than $12,000; 3.

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› Url: https://www.medicaid.gov/federal-policy-guidance/downloads/sho19003.pdf Go Now

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Health Home Information Resource Center Medicaid

Details: The Health Home Information Resource Center was established by the Centers for Medicare & Medicaid Services (CMS) to help states develop these new models to coordinate the full range of medical, behavioral health, and long-term services and supports needed by Medicaid beneficiaries with chronic health …

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› Url: https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/index.html Go Now

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Health Home Quality Reporting Medicaid

Details: Health Home Quality Measure Reporting and Evaluation Activities A goal of Medicaid health home programs is to improve health outcomes for beneficiaries with chronic conditions through coordinated care provided by an interdisciplinary team linking primary, behavioral health, and long term services and supports. The Centers for Medicare & Medicaid Services (CMS) established a core set of health

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› Url: https://www.medicaid.gov/resources-for-states/medicaid-state-technical-assistance/health-home-information-resource-center/health-home-quality-reporting/index.html Go Now

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Postpartum Care Medicaid

Details: Improving Postpartum Care Learning Collaborative In January 2021, the Maternal and Infant Health Initiative (MIHI) launched the Postpartum Care Learning Collaborative which will offer technical assistance (TA) to states and their partners using two …

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› Url: https://www.medicaid.gov/medicaid/quality-of-care/improvement-initiatives/maternal-infant-health/quality-improvement/postpartum-care/index.html Go Now

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Quality of Care Health Disparities Medicaid

Details: Quality of Care Health Disparities. As part of the overarching Centers for Medicare & Medicaid Services (CMS) initiative to support health care quality improvement to underserved Medicare and Medicaid enrollees, CMS is engaged in a multi-partner health disparities collaboration. This unique collaboration includes: Other stakeholders.

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› Url: https://www.medicaid.gov/medicaid/quality-of-care/quality-improvement-initiatives/quality-of-care-health-disparities/index.html Go Now

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How do States Deliver Care in Medicaid

Details: States administer their Medicaid programs and determine how to deliver care. Federal law requires states to provide certain “mandatory” benefits and allows states the choice of covering other “optional” benefits. Comparisons across states should consider differences in their benefits and care delivery approaches. For example, some states choose to deliver Medicaid health benefits and

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› Url: https://www.medicaid.gov/state-overviews/scorecard/how-states-deliver-care-medicaid/index.html Go Now

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HEALTH BENEFIT BOOKLET

Details: • Understand your health issues and be wise consumers of health care services; • Use Providers who will provide or coordinate your total health care needs, and to maintain an ongoing patient-Physician relationship; • Provide complete and honest information the …

› Verified 9 days ago

› Url: https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/in/Healthy-Indiana-Plan-2/in-healthy-indiana-plan-support-20-Health-Benefit-Booklet.pdf Go Now

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State Health System Performance Medicaid

Details: The State Health System Performance measures show how states serve Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries in six areas: Promoting communication & care coordination Reducing harm in care delivery Promoting prevention & treatment of chronic diseases Strengthening engagement in care Making care affordable Working with communities to promote healthy living In …

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› Url: https://www.medicaid.gov/state-overviews/scorecard/state-health-system-performance/index.html Go Now

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Adult and Child Health Care Quality Measures Medicaid

Details: Each year, the Centers for Medicare & Medicaid Services (CMS), an operating division of the Department of Health and Human Services (HHS), publishes through an annual review and selection process, sets of core measures showing the quality of care and health outcomes for adults participating in Medicaid, and children enrolled in Medicaid and the Children’s Heal

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› Url: https://www.medicaid.gov/medicaid/quality-of-care/performance-measurement/adult-and-child-health-care-quality-measures/index.html Go Now

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Social Determinants of Health (SDOH) State Health Official

Details: Disease Prevention and Health Promotion in the U.S. Department of Health and Human Services (HHS), uses a place-based framework that highlights the importance of addressing SDOH. Healthy People 2030 was released in 2020 and sets data-driven national objectives to improve health and well -being over the next decade. Healthy People

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› Url: https://www.medicaid.gov/federal-policy-guidance/downloads/sho21001.pdf Go Now

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Medicaid Health Homes: SPA Overview

Details: health homes program effective July 1, 2018 (approved 5/29/18, effective 7/1/18) CA-18-0019: Expands health homes to Riverside and San Bernardino counties (approved 10/12/18, effective 1/1/19) CA-19-0001: Expands health homes to 8 additional counties for population criterion of chronic

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› Url: https://www.medicaid.gov/state-resource-center/medicaid-state-technical-assistance/health-home-information-resource-center/downloads/hh-spa-overview.pdf Go Now

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Contact Us Medicaid

Details: The Center for Medicaid and CHIP Services (CMCS) is committed to working in close partnership with states, as well as providers, families, and other stakeholders to support effective, innovative, and high quality health coverage programs. Medicaid and the Children’s Health Insurance Program (CHIP) are joint federal/state programs for which state Medicaid/CHIP agencies have full

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› Url: https://www.medicaid.gov/about-us/contact-us/index.html Go Now

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Coordination of Benefits & Third Party Liability Medicaid

Details: It is possible for Medicaid beneficiaries to have one or more additional sources of coverage for health care services. Third Party Liability (TPL) refers to the legal obligation of third parties (for example, certain individuals, entities, insurers, or programs) to pay part or all of the expenditures for medical assistance furnished under a Medicaid state plan.

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› Url: https://www.medicaid.gov/medicaid/eligibility/coordination-of-benefits-third-party-liability/index.html Go Now

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Health Homes (Section 2703) Frequently Asked Questions

Details: A: A health home is a Medicaid State Plan Option that provides a comprehensive system of care coordination for Medicaid individuals with chronic conditions. Health home providers will integrate and coordinate all primary, acute, behavioral health and long term services and supports to treat the “whole-person” across the lifespan. 2. Q.

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› Url: https://www.medicaid.gov/state-resource-center/medicaid-state-technical-assistance/health-home-information-resource-center/downloads/health-homes-faq-5-3-12_2.pdf Go Now

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Healthy Adult Opportunity (HAO)

Details: The Health Adult Opportunity (HAO) is designed to provide states: – Greater flexibility to improve the health of their Medicaid populations while holding states accountable for a defined budget, the quality of care provided to beneficiaries, and providing access to high quality health care services –

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› Url: https://www.medicaid.gov/medicaid/section-1115-demo/downloads/how-states-apply/hao-overview.pdf Go Now

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Medicaid and CHIP COVID-19 Public Health Emergency

Details: This tool is a resource to assist states and territories in their planning efforts to resolve pending Medicaid, Children’s Health Insurance Program (CHIP), and Basic Health Program (BHP) eligibility and enrollment actions and return to routine operations after the 2019 Novel Coronavirus (COVID-19) public health emergency (PHE) ends.

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› Url: https://www.medicaid.gov/resources-for-states/downloads/medicaid-chip-covid19-health-emergency-eligibility-enrollment-pending-actions-resolution-planning-tool.docx Go Now

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The Collaborative Care Model: An Approach for Integrating

Details: health providers, but they have limited access to effective medical care and high mortality rates,underscoring the need for better connections across primary care and mental health. . The collaborative care model is an evidence-based approach for integratingphysical and behavioral health

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› Url: https://www.medicaid.gov/state-resource-center/medicaid-state-technical-assistance/health-home-information-resource-center/downloads/hh-irc-collaborative-5-13.pdf Go Now

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Profile of Medicaid and CHIP Beneficiary Characteristics

Details: health status, access, utilization, expenditures, and experience of the beneficiaries served by Medicaid and the Children’s Health Insurance Program (CHIP). As the agency responsible for ensuring quality health care coverage for Medicaid and CHIP beneficiaries, the Center for Medicaid and CHIP Services (CMCS) plays a key role in promoting quality

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› Url: https://www.medicaid.gov/medicaid/quality-of-care/downloads/beneficiary-profile.pdf Go Now

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Improving Behavioral Health Follow-up Care Learning

Details: The Centers for Medicare & Medicaid Services (CMS) launched the “Improving Behavioral Health Follow-Up Care Learning Collaborative” (Learning Collaborative) to support state Medicaid and Children’s Health Insurance Program (CHIP) agencies’ efforts to improve access to and coordination of follow-up care for beneficiaries who visit an emergency department or are hospitalized …

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› Url: https://www.medicaid.gov/medicaid/quality-of-care/improvement-initiatives/behavioral-health-learning-collaborative/index.html Go Now

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State Medicaid & Basic Health Programs: CMS Flexibilities

Details: An additional health coverage program that states may elect to operate is the Basic Health Program (BHP). In the states that elect to operate a BHP, the BHP makes affordable health benefits coverage available for individuals under age 65 with household incomes between 133 percent and 200 percent

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› Url: https://www.medicaid.gov/state-resource-center/downloads/ifc-medicaid-factsheet.pdf Go Now

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2021 Core Set of Behavioral Health Measures for Medicaid

Details: health measures for voluntary reporting by state Medicaid and CHIP agencies. This Core Set, which consists of 5 measures from the Child Core Set and 13 measures from the Adult Core Set, will be used by CMS to measure and evaluate progress toward improvement. NQF # CMS . Core Set . Measure . Steward . Measure Name .

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› Url: https://www.medicaid.gov/medicaid/quality-of-care/downloads/2021-bh-core-set.pdf Go Now

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Incentives to Change Health behaviors: Beneficiary

Details: a health risk assessment (HRA), establishing a primary care relationship, completing preventive services, setting a personal health goal, or managing health care costs. By engaging in these behaviors, beneficiaries can earn reductions in the monthly payments and/or service copayments that they otherwise must pay in the demonstrations, and in some

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› Url: https://www.medicaid.gov/medicaid/downloads/incentives-to-change-health-behaviors.pdf Go Now

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Delaware Health and Social Services

Details: Health Options left approximate 100 coats with Anna P. Mote school officials to hand out to children that were not in school on the day of the event. Maternal Health Homes / Maternal Opioid Management-Highmark Health Options Drs. Szebenyi and Barclay met with Christiana Care Health System, CCHS OBGYN administrative personnel on February 21, 2019.

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› Url: https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/de/Diamond-State-Health-Plan/de-dshp-qtrly-rpt-jan-mar-2019.pdf Go Now

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Outreach Tools Medicaid

Details: The Center for Medicaid and CHIP Services (CMCS) is committed to supporting state efforts to identify and enroll people who are eligible for Medicaid or the Children’s Health Insurance Program, as well as efforts to help enrollees live longer, healthier lives. This section provides materials and messages that states may use and adapt to support outreach activities.

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› Url: https://www.medicaid.gov/medicaid/outreach-tools/index.html Go Now

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State of New Mexico Human Services Department

Details: Behavioral Health Context, Network and Gaps in New Mexico New Mexico’s Behavioral Health services are delivered through agencies that are licensed and/or certified as hospitals, community mental health clinics, core service agencies, federally qualified health centers, and behavioral health agencies.

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› Url: https://www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/nm-centennial-care-pa3.pdf Go Now

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DEPARTMENT OF HEALTH & HUMAN SERVICES

Details: team structure. Including MAT providers as part of the health home team structure would be a strong indication that the health home is “designed to provide health home services primarily to SUD-eligible individuals” and thus, is “SUD-focused.” • The state should submit a proposal for a new health home state plan amendment that is

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› Url: https://www.medicaid.gov/federal-policy-guidance/downloads/cib050719.pdf Go Now

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Delaware Health and Social Services

Details: The Diamond State Health Plan (DSHP) is a mandatory Medicaid managed care program operating under an 1115 waiver from CMS. Diamond State Health Plan covers approximately eighty percent (83%) of Delaware’s Medicaid population. For contract year 1996 forward, all Medicaid clients are eligible for the DSHP except for those

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› Url: https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/de/Diamond-State-Health-Plan/de-dshp-annl-rpt-jan-dec-2015.pdf Go Now

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Recommendations for Maternal Health and Infant Health

Details: Maternal and infant health are critical to the health of the nation. Many of the health conditions that determine whether a pregnancy ends in a healthy outcome for the woman and/or for the infant impact health for a lifetime and may transmit adverse health to future generations (Lane-Cordova et al. 2019; Cheong et a l. 2016).

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Arkansas Health Care Independence

Details: delivery and health outcomes, will be compared with cost, service measures , and health outcomes that would have been expected for the same enrollees in the traditional Medicaid program. 1. Background . Arkansas is a largely rural state with significant health care challenges including high health -risk

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› Url: https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ar/Health-Care-Independence-Program-Private-Option/ar-private-option-eval-design-appvl-ltr-03242014.pdf Go Now

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State of Alaska Department of Health and Social Services

Details: nearest health care facility is located nearly 300 miles away by plane, and the nearest location for receiving acute behavioral health care is more than 1,000 miles away by plane. When Martha was 16 years old, she was diagnosed with a fetal alcohol spectrum disorder (FASD).

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› Url: https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/ak/behavioral-health/ak-behavioral-health-demo-pa.pdf Go Now

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2021 Core Set of Adult Health Care Quality Measures for

Details: 2021 Updates to the Child and Adult Core Health Care Quality Measurement. Core Set of Children s Health Care Quality Measures for Medicaid and CHIP \(Child Core Set\), 2010 2021. 2021 Core Set of Behavioral Health Measures for Medicaid and CHIP \(Behavioral Health Core Set\)

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› Url: https://www.medicaid.gov/medicaid/quality-of-care/downloads/2021-adult-core-set.pdf Go Now

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2021 Core Set of Children’s Health Care Quality Measure

Details: Health and Science University; OPA = U.S. Office of Population Affairs. 2021 Updates to the Child and Adult Core Health Care Quality Measurement Sets. 2021 Updates to the Child and Adult Core Health Care Quality Measurement Sets. Core Set of Children s Health Care Quality Measures for Medicaid and CHIP \(Child Core Set\), 2010 2021

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› Url: https://www.medicaid.gov/medicaid/quality-of-care/downloads/2021-child-core-set.pdf Go Now

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Maternal & Infant Health Care Quality Medicaid

Details: The Maternal and Infant Health (MIH) Beneficiary Profile (PDF, 2.49 MB) provides an overview of the demographics, health status, health outcomes, risk factors, and health care utilization among reproductive age women, women with a recent live birth, and infants covered by Medicaid and CHIP. As the MIH Beneficiary Profile illustrates, CMS is in

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State Guide to CMS Criteria for Medicaid Managed Care

Details: DEPARTMENT OF HEALTH AND HUMAN SERVICES . Centers for Medicare & Medicaid Services . 7500 Security Boulevard, Mail Stop S2-26-12 . Baltimore, MD 21244-1850 . State Guide to CMS Criteria for Medicaid Managed Care Contract Review and Approval . January 20, 2017

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› Url: https://www.medicaid.gov/medicaid/downloads/mce-checklist-state-user-guide.pdf Go Now

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Measures for Medicaid Managed Long Term Services and

Details: Health Insurance Portability and Accountability Act standard. The International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) is published by the World Health Organization (WHO). ICD-10-PCS is an

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› Url: https://www.medicaid.gov/medicaid/downloads/mltss_assess_care_plan_tech_specs.pdf Go Now

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