Search Results: MCHLine

Annotation: This report provides information about the Centers for Medicare & Medicaid Services' (CMS) Oral Health Cross-Cutting Initiative (CCI), which works across the agency to enhance alignment of and focus on oral health in CMS programs and policies. CCI seeks to achieve equal access to oral health care, eliminate persistent oral health disparities, expand access to oral health services, foster collaborative engagement with stakeholders, and use data analytics and innovation to inform policy priorities. The report discusses key results and oral health analytics: data- and evidence-driven insights.

Contact: U.S. Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, MD 21244, Telephone: (877) 267-2323 Secondary Telephone: (410) 786-3000 Fax: Web Site: https://www.cms.gov Available from the website.

• PDF

Keywords: Access to health care, Collaboration, Data, Medicaid, Medicare: Initiatives, Oral health, Oral health equity, Public policy

Annotation: This brief provides an overview of state-level policies that can support community-level actions to help ensure that communities have access to comprehensive oral health care, as well as federal policies that support the availability of minimally invasive care (MIC). State-level policy considerations discussed include maximizing Medicaid coverage for MIC (coverage of fluoride treatments, reimbursement for teledentistry, and risk management and individualized care); improving private coverage of MIC; and workforce considerations. Federal-level policy considerations discussed include mandatory Medicaid adult benefits, federal standardization of essential health benefits, and comprehensive Medicare dental benefits.

Contact: Community Catalyst, Dental Access Project, 30 Winter Street, 10th Floor, Boston, MA 02108, Telephone: (617) 338-6035 Fax: (617) 451-5838 E-mail: [email protected] Web Site: https://communitycatalyst.org/work/projects/dental-access-project/ Available from the website.

• PDF

Keywords: Access to health care, Community health, Dental insurance, Medicaid, Medicare, Oral health, Public policy

Annotation: This report examines how state and territorial health agencies can advance sustainable financing for community health worker (CHW) programs as COVID-19-related grant funding expires and new Medicare and Medicaid reimbursement opportunities emerge. It presents strategies for state/territorial health agencies to establish clear CHW policies, support effective implementation of Medicaid and Medicare CHW policies, help community-based organizations develop sustainable funding models, and align CHW training and certification programs with financing opportunities. The report includes examples from multiple states' approaches to CHW program sustainability and provides detailed appendices on state staffing structures, relevant federal grants, and CHW-related strategies in state health improvement plans.

Contact: Association of State and Territorial Health Officials, 2231 Crystal Drive, Suite 450, Arlington, VA 22202, Telephone: (202) 371-9090 Fax: (571) 527-3189 Web Site: http://www.astho.org

• PDF

Keywords: Community health workers, Financing, Health agencies, Medicaid, Medicare, Models, Policy development, State initiatives

Annotation: This chartbook presents Centers for Medicare & Medicaid Services Form CMS-416 annual data submitted by states for federal fiscal years 2015 to 2019. This form measures states’ efforts to ensure that children who are eligible for services, including oral health services provided through the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) program, receive these services. The chartbook includes background and provides an overview of EPSDT, describes the scope of EPSDT, and presents EPSDT reporting requirements.

Contact: National Health Law Program, North Carolina Office, 1512 E. Franklin St., Suite 110, Chapel Hill, NC 27514, Telephone: (919) 968-6308 Fax: (919) 968-8855 E-mail: [email protected] Web Site: http://www.healthlaw.org Available from the website.

• Link

Keywords: Access to health care, EPSDT, Forms, Medicare, Oral health, State programs, Statistical data

Annotation: This brief presents data on the share of Medicare beneficiaries with dental coverage, the share with a dental visit in the past 12 months, and out-of-pocket spending on oral health care. It also provides information about the scope of dental benefits for Medicare Advantage enrollees in individual plans in 2021 and on how Medicare Advantage dental coverage compares to Affordable Care Act dental coverage. Data and methods are discussed.

Contact: Henry J. Kaiser Family Foundation, 2400 Sand Hill Road, Menlo Park, CA 94025, Telephone: (650) 854-9400 Secondary Telephone: (202) 347-5270 Fax: (650) 854-4800 Web Site: http://www.kff.org Available from the website.

• Link

Keywords: Costs, Health care utilization, Low income groups, Medicare, Oral health, Statistical data

Annotation: This fact sheet discusses the relationship between social determinants of health (SDOH) and children and youth with special health care needs (CYSHCN) and gives case studies from North Carolina, Kansas and Oregon to describe how these states have used screenings and administrative data to identify and assess SDOH in order to better support CYSHCN.

Contact: National Resource Center for Patient/Family-Centered Medical Home, American Academy of Pediatrics, 345 Park Boulevard, Itasca, IL 60143, Telephone: (847) 434-7605 Secondary Telephone: (800) 433-9016, ext. 7605 Web Site: https://www.aap.org/en/practice-management/medical-home Available from the website.

• PDF

Keywords: Adolescents with special health care needs, Children with special health care needs, Kansas, Managed care, Medicare, North Carolina, Oregon, Social factors, State initiatives

Annotation: This brief provides information about the virtual dental home (VDH) implemented by four communities in five California counties as part of their local dental pilot projects (LDPPs). The aim of the LDPPs is to increase use of oral health care among children enrolled in Medi-Cal through innovative pilot projects. The brief provides background on the VDH, outlines how it was implemented, identifies lessons learned and best practices, and provides recommendations for integrating the VDH into California’s oral-health-care-delivery system. It also considers the impact of the COVID-19 pandemic on VDH implementation.

Contact: Children's Partnership, 811 Wilshire Boulevard, Suite 1000, Los Angeles, CA 90017, Telephone: (213) 341-1222 Fax: (213) 293-1483 E-mail: [email protected] Web Site: http://www.childrenspartnership.org Available from the website.

• PDF

Keywords: California, Medical home, Medicare, Oral health, State programs

Annotation: This brief provides information about the virtual dental home (VDH) implemented by four communities in five California counties as part of their local dental pilot projects (LDPPs). The aim of the LDPPs is to increase use of oral health care among children enrolled in Medi-Cal through innovative pilot projects. The brief outlines how the VDH has been implemented by community health centers in Orange County, identifies lessons learned and best practices related to the VDH, and provides recommendations for sustaining best practices and integrating them into the oral-health-care-delivery system throughout Orange County and the state.

Contact: California Northstate University, College of Dental Medicine, 9700 West Taron Drive, Elk Grove, CA 95757, Telephone: 916-686-7300 Web Site: http://dentalmedicine.cnsu.edu/ Available from the website.

• 2020 Report

Keywords: California, Medical home, Medicare, Oral health, State programs

Annotation: This brief provides information about the virtual dental home (VDH) implemented by four communities in five California counties as part of their local dental pilot projects (LDPPs). The aim of the LDPPs is to increase use of oral health care among children enrolled in Medi-Cal through innovative pilot projects. The brief outlines how the VDH has been implemented by community health centers in Sacramento County, identifies lessons learned and best practices related to the VDH, and provides recommendations for sustaining best practices and integrating them into the oral-health-care-delivery system throughout Sacramento County and the state.

Contact: California Northstate University, College of Dental Medicine, 9700 West Taron Drive, Elk Grove, CA 95757, Telephone: 916-686-7300 Web Site: http://dentalmedicine.cnsu.edu/ Available from the website.

• 2020 Report

Keywords: California, Medical home, Medicare, Oral health, State programs

Annotation: This brief provides information about the virtual dental home (VDH) implemented by four communities in five California counties as part of their local dental pilot projects (LDPPs). The aim of the LDPPs is to increase use of oral health care among children enrolled in Medi-Cal through innovative pilot projects. The brief outlines how the VDH has been implemented by community health centers in San Joaquin County, identifies lessons learned and best practices related to the VDH, and provides recommendations for sustaining best practices and integrating them into the oral-health-care-delivery system throughout San Joaquin County and the state.

Contact: California Northstate University, College of Dental Medicine, 9700 West Taron Drive, Elk Grove, CA 95757, Telephone: 916-686-7300 Web Site: http://dentalmedicine.cnsu.edu/ Available from the website.

• 2020 Report

Keywords: California, Medical home, Medicare, Oral health, State programs

Annotation: This literature review gathers evidence on the patient-centered medical home; the original study was released in 2008, and updates followed in 2011, 2014, with this latest review in 2019. Studies gathered information from thousands of care centers serving hundreds of thousands of patients, and illustrate how the patient-centered medical home can save money by reducing hospital and emergency department visits, mitigating health disparities, and improving patient outcomes such as increased cancer screening tests. [The study was created by the American Academy of Pediatrics, the American College of Physicians, the American Osteopathic Association and the American Academy of Family Physicians.]

Contact: National Committee for Quality Assurance, 1100 13th Street, N.W., Suite 1000, Washington, DC 20005, Telephone: (202) 955-3500 Fax: (202) 955-3599 E-mail: [email protected] Web Site: http://www.ncqa.org

• PDF

Keywords: Cost effectiveness, Medical home, Medicare

Annotation: Based on a review of the literature and interviews with stakeholders and policy experts, this article provides actionable recommendations for improving care coordination programs for children with special healthcare needs (CSHCN) in Medicaid managed care.

• PDF

Keywords: Care coordination, Children with special health care needs, Managed care, Medicaid, Medicare

Annotation: This Sourcebook provides information and data on health care topics, including the Patient Protection and Affordable Care Act, health care costs, health information technology, quality of care, health insurance exchanges, Medicare, Medicaid and the Children's Health Insurance Program., dual eligibles, long-term services and support, disparities in health and health care, mental health and substance abuse, and public health and prevention. It also includes the names and contact details for top experts in each subject area and a comprehensive glossary of health care policy terms.

Contact: Alliance for Health Reform, 1444 Eye St., N.W., Suite 910, Washington, DC 20005, Telephone: (202) 789-2300 Fax: (202) 789-2233 E-mail: [email protected] Web Site: http://www.allhealth.org Available from the website.

• Link

Keywords: Children', Barriers, Costs, Health care reform, Health insurance, Long term care, Mass media, Medicaid, Medicare, Mental health, Prevention, Public health, Quality assurance, Substance abuse, Technology, s Health Insurance Program

Annotation: This document summarizes the Patient Protection and Affordable Care Act (P.L. 111-148) as signed into law on March 23, 2010 and changes made to the law by subsequent legislation. It focuses on provisions to expand coverage, control health care costs, and improve the health care delivery system. Information is divided into the following sections: individual mandate, employer requirements, expansion of public programs, premium and cost-sharing subsidies to individuals, premium subsidies to employers, tax changes related to health insurance or financing health reform, health insurance exchanges, benefit design, changes to private insurance, state role, cost containment, improving quality/health system performance, prevention and wellness, long-term care, and other investments.

Contact: Henry J. Kaiser Family Foundation, 2400 Sand Hill Road, Menlo Park, CA 94025, Telephone: (650) 854-9400 Secondary Telephone: (202) 347-5270 Fax: (650) 854-4800 Web Site: http://www.kff.org Available from the website.

• PDF

Keywords: Federal health insurance programs, Federal legislation, Health care reform, Health insurance, Medicare, Medicaid, Access to health care, Patient Protection and Affordable Care Act

Annotation: This report provides information on the special needs of children with medical complexity. The report discusses the medically complex pediatric population and the care coordination, services, and intervention these children require; challenges to changing care; solutions; and a foundation for reform. A number of children with different types of medical complexity are described within the report.

Contact: Children's Hospital Association, 600 13th Street, N.W., Suite 500, Washington, DC 20005, Telephone: (202) 753-5500 Web Site: http://www.childrenshospitals.net Available from the website.

• PDF

Keywords: Access to health care, Adolescents with special health care needs, Case studies, Children with special health care needs, Chronic illnesses and disabilities, Costs, Family support services, Health insurance, Health services, Infants with special health care needs, Intervention, Medicare, Service coordination, Social services

Annotation: This report describes the state of oral-health-performance measurement. Topics include the degree to which existing measures are developed and implemented and how well they relate to established oral health priority areas. The report specifically addresses the need for oral health performance measures that are applicable to oral-health-safety-net programs. Recommendations for oral-health-measure development and standardization are included.

Contact: National Quality Forum, 1030 15th Street, N.W., Suite 800, Washington, DC 20005, Telephone: (202) 783-1300 Fax: (202) 783-3434 E-mail: [email protected] Web Site: http://www.qualityforum.org Available from the website.

• Link

Keywords: Children, Children', Measures, Medicaid, Medicare, Oral health, Program improvement, Quality assurance, Standards, s Health Insurance Program

Annotation: This fact sheet describes medical home provisions in the Patient Protection and Affordable Care Act (ACA) and explains how state MCH programs can maximize those provisions to promote medical homes. It describes grants and demonstration project funding available to states; the establishment of a center for Medicare and Medicaid innovation; funding for programs that support collaborative care; and the expansion of community health centers. A list of additional information sources is included.

Contact: Association of Maternal and Child Health Programs, 1825 K Street, N.W., Suite 250, Washington, DC 20006-1202, Telephone: (202) 775-0436 Fax: (202) 478-5120 E-mail: [email protected] Web Site: http://www.amchp.org Available from the website.

• PDF

Keywords: Community health centers, Federal legislation, Grants, Health care reform, Medicaid, Medical home, Medicare, Program improvement, State MCH programs

Annotation: This report examines how the Affordable Care Act addresses vaccine and immunization policy and practice, assesses the implications of the act for vaccine and immunization policy, and assesses the extent to which the act addresses the National Vaccine Advisory Committee’s Vaccine Financing Working Group’s recommendations. Topics include private health insurance and group benefit plans, state-regulated health insurance sold in individual and small group markets, Medicaid and the Children’s Health Insurance Program, Medicare, health care quality and innovation, federal funding for vaccine programs, population health and prevention initiatives, research, community health centers, school-based health centers, supporting the health work force, and implementation recommendations.

Contact: George Washington University Milken Institute School of Public Health, Department of Health Policy, 950 New Hampshire Avenue, N.W., Sixth Floor, Washington, DC 20052, Telephone: (202) 994-4100 Web Site: http://publichealth.gwu.edu/departments/health-policy Available from the website.

• Final Report
• Appendices

Keywords: , Children’s Health Insurance Program, Federal legislation, Financing, Health care, Health insurance, Immunization, Medicaid, Medicare, Public policy, School health

Annotation: This document is the full, official printing of the Health Care and Education Reconciliation Act of 2010, as passed in 111th Congress, H.R. 4872, in March 2010, P.L. 111-152. Contents include: Title I. Coverage, Medicare, Medicaid, and Revenues; Title II. Education and Health. This act amends the Patient Protection and Affordable Care Act of 2009.

Contact: U.S. Government Publishing Office, 732 North Capitol Street, N.W., Washington, DC 20401, Telephone: (202) 512-1800 Secondary Telephone: (866) 512-1800 Fax: (202) 512-2104 E-mail: [email protected] Web Site: http://www.gpo.gov Available from the website.

• PDF

Keywords: Federal health insurance programs, Federal legislation, Health care reform, Health insurance, Medicare, Medicaid, , Patient Protection and Affordable Care Act

Annotation: This report assesses the status of women in the 50 states and the District of Columbia in three dimensions: health, access and utilization, and social determinants. The first three chapters present data on the prevalence and rates for 25 indicators encompassed by these dimensions for women in various racial and ethnic groups, as well as state-level disparity scores. The fourth chapter presents state-level data on 8 indicators reflecting state policies and payment for Medicare and family planning, and health care work force availability. Each chapter begins with a description of the dimension and the indicators contained within it and provides a description of each indicator and highlights of findings.

Contact: Henry J. Kaiser Family Foundation, 2400 Sand Hill Road, Menlo Park, CA 94025, Telephone: (650) 854-9400 Secondary Telephone: (202) 347-5270 Fax: (650) 854-4800 Web Site: http://www.kff.org Available from the website.

• Report
• Data

Keywords: Access to health care, Ethnic factors, Family planning, Low income groups, Medicare, Public policy, Racial factors, Social factors, State programs, Statistical data, Women', s health