This is my archive

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Paths to Financial Sustainability for Comprehensive Pediatric Complex Care Programs

This presentation offers a Medicaid policy toolkit for Title V agencies and providers. It was originally presented at the AMCHP 2021 Conference.

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Unwinding the Maintenance of Effort Requirement at the end of the Public Health Emergency (PHE): The Role of Title V Programs

Under the Families First Coronavirus Response Act, state Medicaid programs are eligible to receive an additional 6.2 percent federal funding match provided they meet certain Maintenance of Effort (MOE) requirements. One of these requirements includes providing continuous eligibility to enrollees through the end of the month in which the…

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Durable Medical Equipment (DME) Reference Guide 2020

Colorado Durable Medical Equipment eligibility, documentation, and process for diapers, wheelchairs, supplemental oral nutrition, enteral nutrition, suction machine, disability placards, and synagis.

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CMC CoIIN State Team Project Summary Table

This document contains summaries of each state’s aims, goals, project plan, target populations, recruitment plan, and elevator speech.

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CMC CoIIN Network Level Journey Map

This journey map illustrates the network-wide process of the CMC CoIIN project.

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The American Rescue Plan Act: Opportunities for Improving Home- and Community-Based Services for Children and Youth with Special Health Care Needs

The American Rescue Plan Act (ARPA) was signed into law on March 11, 2021. Provisions in this legislation have the potential to expand and strengthen Home- and Community-Based Services (HCBS) for children enrolled in Medicaid, in turn strengthening the systems of services for children and youth with special health care…

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PDF: Strategies for State Title V and Medicaid Programs to Promote Health Equity for Children of Color with Special Health Care Needs

State Title V and Medicaid programs provide services for children and youth with special health care needs (CYSHCN) to support their physical, behavioral, and developmental care. States are also advancing health equity goals to address disparate outcomes experienced by people of color. With evidence of existing inequities laid bare by…

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Strengthening Title V – Medicaid Managed Care Collaborations to Improve Care for CYSHCN

Forty-seven states use some form of managed care to serve children and youth with special health care needs (CYSHCN) enrolled in Medicaid. State Title V programs, which are required to use 30 percent of their funds for programs for CYSHCN and their families, may also serve these same children. By…

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State Definitions of Medical Necessity Under the Medicaid EPSDT Benefit

State Medicaid programs are required to provide Medicaid enrollees under age 21 with comprehensive and preventive health care services through the Early Screening and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit. Federal law requires states to cover “medically necessary services” under the EPSDT benefit “whether or not such services are covered…

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Improving Care Coordination for Children with Medical Complexity: Exploring Medicaid Health Home State Options

States are increasingly interested in care coordination as a strategy for improving systems of care for children with medical complexity (CMC) and their families. The Section 2703 Medicaid Health Home State Option and the new Advancing Care for Exceptional (ACE) Kids Act Health Home State Option present opportunities to enhance…