The American Health Care Act (AHCA) proposes to cap Federal Medicaid reimbursements to the states on a per-enrollee basis, effectively limiting growth to a rate only modestly exceeding the rate of inflation in healthcare costs. If the AHCA were to be enacted, it is reasonable to assume that most states would limit home and community-based services (HCBS) spending to the per-enrollee cap amount; otherwise, any excess comes entirely out of the state budget.
Reports & Publications
As part of the University of California’s three-year evaluation of the Cal MediConnect (CMC) program, this research brief examines the efforts of CMC health plans to identify and transition members from long-term care institutions to home and community-based settings. Findings describe the progress many CMC plans have made in accelerating transitions out of institutional care, including successful strategies and challenges encountered in the process, as well as the barriers that still remain.
This report summarizes the key national trends to emerge from the latest (2013) participant and expenditure data for the three main Medicaid HCBS programs: (1) the mandatory home health services state plan benefit, (2) the optional personal care services state plan benefit, and (3) optional § 1915 (c) HCBS waivers. It also briefly discusses the provision of Medicaid HCBS through § 1115 demonstration waivers and highlights findings from a 2015 survey of Medicaid HCBS participant eligibility, enrollment, and provider reimbursement policies, including those related to the U.S.
Purpose: To understand the impact of experience and contacts with care coordinators on Medicaid Managed Care (MMC) enrollees with disabilities. Method: Primary data was collected from a random sample of 6000 out of the 100,000 people with disabilities enrolled in one state’s mandatory MMC program. Surveys were conducted through the mail, telephone, and Internet; 1041 surveys were completed. The sample used for analysis included 442 MMC enrollees who received care coordination.
This report is part of an evaluation of Cal MediConnect, California's demonstration project to integrate care for people covered under both Medicare and Medicaid. The evaluation is being conducted by the Community Living Policy Center at UCSF and the Health Research for Action Center at UC Berkeley, and is funded by The SCAN Foundation and NIDILRR. This report presents findings from a survey of Cal MediConnect beneficiaries and comparison samples conducted over the telephone in early 2016. With respect to long-term services and supports, LTSS-using beneficiaries in Cal MediConnect report