Medicaid Payment Perspectives helps Medicaid programs and other payers improve the methods used to purchase care and services for their beneficiaries. It’s published by the Payment Method Development team at Conduent.
States will have until 2022 to meet standards of care for delivering home and community-based services to Medicaid enrollees, CMS announced in May. The rules set in 2014 require states to implement policies that help elderly and disabled Medicaid beneficiaries stay in their homes instead of being forced into nursing homes. Medicaid programs still face a 2019 deadline of having their implementation plans approved (only Tennessee has had its plan approved).
“We have long been on record saying that the regulation was hopelessly unrealistic in its time frame,” Matt Salo, executive director of the National Association of Medicaid Directors, told Kaiser Health News. “Delaying it actually helps consumers because the underlying regulation was going to push too many changes too fast into a system that wasn’t ready.”
The rule affects about 3 million people. It requires states to help the elderly and disabled work and control their own money, ensure their privacy if living in a group situation, have opportunities for social interaction and, of course, have adequate access to healthcare services.
You can read more Conduent insights about Medicaid payment in previous editions of Medicaid Payment Perspectives.