Background: Many states are transitioning fee-for-service (FFS) Medicaid into Medicaid Managed Care (MMC) for people with disabilities. Objective: This study examined managed care's impact on health services appraisal (HSA) and unmet medical needs of individuals with disabilities receiving Medicaid. Key questions included 1) Do participant demographics and enrollment in MMC impact unmet medical needs and HSA? 2) Within MMC, do demographics and continuity of care relate to unmet medical needs? 3) Within MMC, do demographics, unmet medical needs and continuity of care relate to HSA?
Reports & Publications
Background: Individuals who receive long-term services and supports (LTSS) are among the most costly participants in the Medicare and Medicaid programs.
Objectives: To compare health care expenditures among users of Medicaid home and community-based services (HCBS) versus those using extended nursing facility care.
Medicaid’s current home and community-based services (HCBS) programs represent a 35 year incremental approach to system design. Since the early 1980s, Congress has amended the law numerous times, seeking to ameliorate the program’s institutional bias by creating new authorities and incentives for states to offer HCBS. While substantially increasing beneficiary access to HCBS, these initiatives also have resulted in a patchwork of options, contributing to administrative complexity for states and confusion for individuals seeking services.
Researchers at the University of California worked with a stakeholder advisory group during a 6-month planning period to design an evaluation of Cal MediConnect, California‘s dual financial alignment demonstration. It was decided that the evaluation should begin by incorporating the experiences and voices of beneficiaries who had transitioned to Cal MediConnect or opted out.
In this report, survey questions relevant to the National Quality Forum (NQF) domains of home and community-based services (HCBS) quality are listed and classified according to the NQF domains and the question topics within domains. The report will be revised once the NQF HCBS quality domains are finalized, which is expected to occur by September 2016. Included items are limited to surveys of consumers, family members, and caregivers.