Medicaid & CHIP

Eligibility & Coverage

Medicaid Eligibility and Benefits
The Basics — January 5, 2016
Author: Sally Coberly, PhD

Shifting Sands: Health Center Finances Under Health Reform
Forum Session — March 20, 2015
Author: Eileen Salinsky, MBA, Consultant

Health Policy Essentials 2015
Briefing Book — February 6, 2015
Authors: Sally Coberly, PhD, Jennifer Jenson, MPH, MPP & Lisa Sprague, MBA

Alternative Paths to Medicaid Expansion
Forum Session — March 28, 2014
Authors: Sally Coberly, PhD & William J. Scanlon, PhD, Senior Consultant

Money Follows the Person (MFP) Rebalancing Demonstration: A Work in Progress
Background Paper No. 85 — February 21, 2014
Author: Carol V. O'Shaughnessy, MA

CMS-State Demonstration for Medicare-Medicaid Beneficiaries: Implementing the Financial Alignment Initiative
Forum Session — December 6, 2013
Author: Carol V. O'Shaughnessy, MA

Medicaid Home- and Community-Based Services Programs Enacted by the ACA: Expanding Opportunities One Step at a Time
Background Paper No. 86 — November 19, 2013
Author: Carol V. O'Shaughnessy, MA

The Future of CHIP
Forum Session — November 1, 2013
Author: Eileen Salinsky, MBA, Consultant

The Commission on Long-Term Care: Background Behind the Mission
The Basics — October 17, 2013
Author: Carol V. O'Shaughnessy, MA

State Progress in Implementation of Home- and Community-Based Service Programs Enacted by the ACA
Forum Session — September 27, 2013
Author: Carol V. O'Shaughnessy, MA

Transforming Behavioral Health Practice, Payment, and Policy: Too Fast, Too Slow, or Just Right?
Forum Session — September 20, 2013
Author: Jessamy Taylor, MPP

State Variation in Long-Term Services and Supports: Location, Location, Location
Forum Session — July 19, 2013
Author: Carol V. O'Shaughnessy, MA

The Affordable Care Act and HIV/AIDS: Implications for Coverage, Access to Care, and Payment
Forum Session — July 19, 2013
Author: Jessamy Taylor, MPP

Health Policy Essentials: Medicaid, CHIP, and Long-Term Services and Supports (LTSS)
Fundamentals Briefing — March 15, 2013
Authors: Kathryn Linehan & Carol V. O'Shaughnessy, MA

The "Coopetition" Model: Caring for San Diego's Low-Income Population
Site Visit — February 19–20, 2013
Authors: Lisa Sprague, MBA & Jessamy Taylor, MPP

Assisted Living: Facilities, Financing, and Oversight
The Basics — January 29, 2013
Author: Carol V. O'Shaughnessy, MA

The Community Living Assistance Services and Supports (CLASS) Act: Major Legislative Provisions
The Basics — January 3, 2013
Author: Carol V. O'Shaughnessy, MA

Changes in Latitudes, Changes in Attitudes: FQHCs and Community Clinics in a Reformed Health Care Market
Issue Brief No. 848 — December 18, 2012
Author: Jessamy Taylor, MPP

Assisted Living Facilities and Their Growing Role in Long-Term Services and Supports (LTSS)
Forum Session — November 30, 2012
Author: Carol V. O'Shaughnessy, MA

Medicaid Managed Long-Term Services and Supports (MMLTSS): Lessons from Three States
Forum Session — October 5, 2012
Author: Carol V. O'Shaughnessy, MA

Pulling Together to Improve Health: Integrating Health, Social, and Legal Services in DC
Site Visit — July 20, 2012
Authors: Jessamy Taylor, MPP & Michele J. Orza, ScD

Examining the Condition of the Health Care Safety Net: Time to Re-Cast?
Forum Session — May 18, 2012
Author: Jessamy Taylor, MPP

Medicaid Managed Long-Term Services and Supports (MMLTSS): Increasing State Interest and Implications for Consumers, Quality of Care, Providers, and Costs
Forum Session — May 11, 2012
Author: Carol V. O'Shaughnessy, MA

Bridging the Silos: Care Coordination for Kids with Serious Behavioral Health Conditions
Forum Session — December 16, 2011
Author: Lisa Sprague, MBA

Revisiting Financing and Delivery of Care to Duals: One Size May Not Fit All
Special Briefing — October 21, 2011
Author: Carol V. O'Shaughnessy, MA

Medical Care for the Elderly Living at Home: Home-Based Primary Care (HBPC) and Hospital-at-Home Programs
Forum Session — July 22, 2011
Author: Carol V. O'Shaughnessy, MA

Medicaid Eligibility and Enrollment for Elderly People and Persons With Disabilities (EPD): Status and Simplification
Workshop — June 29, 2011
Author: Judith D. Moore

Managed Care for Medicaid Beneficiaries with Disabilities: How Does It Work?
Forum Session — May 6, 2011
Author: Judith D. Moore

Health Policy Essentials: The Fundamentals of Long-Term Services and Supports
Fundamentals Briefing — April 1, 2011
Author: Carol V. O'Shaughnessy, MA

Oral Health Update: Ten Years After the Surgeon General’s Report
Forum Session — January 21, 2011
Author: Jessamy Taylor, MPP

Eligibility and Enrollment for Health and Social Service Programs: One State's Experience
Site Visit — January 20, 2011
Authors: Judith D. Moore & Lisa Sprague, MBA

Aging and Disability Resource Centers (ADRCs): Federal and State Efforts to Guide Consumers Through the Long-Term Services and Supports Maze
Background Paper No. 81 — November 19, 2010
Author: Carol V. O'Shaughnessy, MA

The Primary Care Safety Net: Strained, Transitioning, Critical
Background Paper No. 79 — September 28, 2010
Author: Jessamy Taylor, MPP

Medicaid Enrollment: Is the First Step the Hardest?
Forum Session — September 10, 2010
Author: Judith D. Moore

Focus on Reform: Health Care Safety Net-Related Provisions
Forum Session — July 16, 2010
Author: Jessamy Taylor, MPP

Focus on Reform: Long-Term Services and Supports (LTSS) and the CLASS Act
Forum Session — June 18, 2010
Author: Carol V. O'Shaughnessy, MA

Focus on Reform: Medicaid Coverage Expansions
Forum Session — May 7, 2010
Author: Christie Provost Peters

Recession and Budgets: Where Do States Stand for 2011 and Beyond?
Forum Session — April 30, 2010
Author: Christie Provost Peters

Transforming Health Care Delivery: Insights from the New Orleans Safety Net
Forum Session — April 16, 2010
Authors: Jessamy Taylor, MPP & Michele J. Orza, ScD

Oral Health Checkup: Progress in Tough Fiscal Times?
Issue Brief No. 836 — March 29, 2010
Author: Cynthia Shirk, Consultant

CHIPRA One Year Later: Where Does Implementation Stand?
Forum Session — March 19, 2010
Author: Judith D. Moore

The Ryan White HIV/AIDS Program
The Basics — March 10, 2010
Author: Jessamy Taylor, MPP

Assessing and Ensuring Health Plan Provider Network Adequacy
Forum Session — February 26, 2010
Author: Kathryn Linehan

Linking Housing and Supportive Services for the Frail Elderly: Challenges and Opportunities
Forum Session — October 23, 2009
Author: Carol V. O'Shaughnessy, MA

Great Expectations: Managing the Centers for Medicare & Medicaid Services
Forum Session — May 1, 2009
Author: Laura A. Dummit

The Children's Health Insurance Program (CHIP): The Fundamentals
Background Paper No. 68 — April 23, 2009
Author: Jennifer Ryan

The Medicaid Drug Rebate Program
The Basics — April 13, 2009
Author: Christie Provost Peters

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 15–16, 2009
Authors: Christie Provost Peters, Jennifer Ryan & Mary Ellen Stahlman

Reauthorizing SCHIP: A Summary of Selected Issues
Issue Brief No. 829 — January 8, 2009
Authors: Jennifer Ryan & Cynthia Shirk, Consultant

Medicaid and Mental Health Services
Background Paper No. 66 — October 23, 2008
Author: Cynthia Shirk, Consultant

Covering All Kids: States Setting the Pace
Issue Brief No. 826 — September 30, 2008
Authors: Jennifer Ryan & Safiya Mojerie

Universal Coverage for Children: States Setting the Pace
Forum Session — September 19, 2008
Authors: Jennifer Ryan & Safiya Mojerie

Medicaid and SCHIP Waivers
The Basics — July 30, 2008
Author: Cynthia Shirk, Consultant

Shaping Medicaid and SCHIP through Waivers: The Fundamentals
Background Paper No. 64 — July 22, 2008
Author: Cynthia Shirk, Consultant

Competition and Collaboration, Chicago-Style
Site Visit — March 16–18, 2008
Authors: Laura A. Dummit & Lisa Sprague, MBA

Children's Behavioral Health Services in Baltimore: Walking the Continuum
Site Visit — September 30–October 1, 2007
Author: Jennifer Ryan

Community-Based Long-Term Care: Wisconsin Stays Ahead
Site Visit — August 8–10, 2007
Authors: Judith D. Moore, Carol V. O'Shaughnessy, MA & Lisa Sprague, MBA

Shrinking Inpatient Psychiatric Capacity: Cause for Celebration or Concern?
Issue Brief No. 823 — August 1, 2007
Authors: Eileen Salinsky & Christopher W. Loftis, PhD

SCHIP: Coming of Age or Stuck in Adolescence?
Forum Session — July 27, 2007
Author: Jennifer Ryan

Everything You Ever Wanted to Know About SCHIP but Didn't Know Who to Ask…
Forum Session — March 30, 2007
Author: Jennifer Ryan

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — February 22–23, 2007
Authors: Christie Provost Peters & Mary Ellen Stahlman

Children with Special Health Care Needs and the Role of Medicaid's Early and Periodic Screening, Diagnosis and Treatment Program
Forum Session — December 8, 2006
Author: Christie Provost Peters

EPSDT: Medicaid's Critical but Controversial Benefits Program for Children
Issue Brief No. 819 — November 20, 2006
Author: Christie Provost Peters

The State Children's Health Insurance Program: Past, Present, and Future
Forum Session — July 21, 2006
Author: Jennifer Ryan

“Mental Health: Progress and Pitfalls,” the Health Affairs Special Issue—A Discussion of Trends in Mental Health Services
Forum Session — June 14, 2006
Author: Christopher W. Loftis, PhD

Medicaid in 2006: A Trip Down the Yellow Brick Road?
Forum Session — May 16, 2006
Author: Jennifer Ryan

Medicaid in 2006: A Trip Down the Yellow Brick Road?
Issue Brief No. 810 — March 29, 2006
Author: Jennifer Ryan

Caring for “Ryan White”: Balancing Quality, Access, Equity, and Finite Resources
Forum Session — March 14, 2006
Author: Jessamy Taylor, MPP

Rebalancing Long-Term Care: The Role of the Medicaid HCBS Waiver Program
Background Paper — March 3, 2006
Author: Cynthia Shirk, Consultant

The Changing Face of Medicaid: Contemplating New Approaches to Benefits and Cost Sharing
Forum Session — November 10, 2005
Author: Jennifer Ryan

Caring for "Ryan White": The Fundamentals of HIV/AIDS Treatment Policy
Background Paper — August 22, 2005
Author: Jessamy Taylor, MPP

Understanding the Role of Medicaid in Assisting People with Disabilities
Forum Session — July 22, 2005
Author: Randy A. Desonia

Children with Special Health Care Needs: Minding the Gaps
Background Paper — June 27, 2005
Author: Christie Provost Peters

Walk in My Shoes™: Navigating the Health Care System
Simulation — June 24, 2005
Author: Jennifer Ryan

“Making Medicaid Work for the 21st Century”—Discussion of a Report from the National Academy for State Health Policy
Forum Session — February 18, 2005
Author: Judith D. Moore

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 13–14, 2005
Authors: Nora Super & Jennifer Ryan

Children with Mental Disorders: Finding Effective Care Within the Systems That Serve Them
Forum Session — November 30, 2004
Author: Jane Koppelman, Consultant

The Provider System for Children's Mental Health: Workforce Capacity and Effective Treatment
Issue Brief No. 801 — October 26, 2004
Author: Jane Koppelman, Consultant

Children with Mental Disorders: Making Sense of Their Needs and the Systems That Help Them
Issue Brief No. 799 — June 4, 2004
Author: Jane Koppelman, Consultant

The Health Care Safety Net in South Carolina: A Test of Tenacity
Site Visit — February 17–19, 2004
Authors: Jennifer Ryan & Randy A. Desonia

Sailing SCHIP through Troubled Waters: A View from the States
Forum Session — December 5, 2003
Author: Jennifer Ryan

Expanding Community-Based Care: Is the Olmstead Decision Making a Difference?
Forum Session — November 25, 2003
Author: Randy A. Desonia

Bridging Silos, Part I: Linkages among the DI, SSI, Medicare, and Medicaid Programs
Background Paper — November 14, 2003
Author: Karen Matherlee

Bridging Silos, Part II: DI, SSI, Medicare, and Medicaid Issues and Initiatives
Background Paper — November 14, 2003
Author: Karen Matherlee

Sailing SCHIP through Troubled Waters
Issue Brief No. 795 — November 13, 2003
Author: Jennifer Ryan

Shaping Public Programs through Medicare, Medicaid, and SCHIP Waivers: The Fundamentals
Background Paper — September 15, 2003
Author: Cynthia Shirk, Consultant

Medicaid Prescription Drug Coverage: State Efforts to Control Costs
Forum Session — June 17, 2003
Author: Dawn M. Gencarelli

Improving Oral Health: Promise and Prospects
Background Paper — June 13, 2003
Author: Jennifer Ryan

Doing It RIte: Exploring a Decade of Health Coverage Innovation (Rhode Island)
Site Visit — May 27–29, 2003
Authors: Jennifer Ryan & Ginger P. Parra

Medicaid Prescription Drug Coverage: State Efforts to Control Costs
Issue Brief No. 790 — May 10, 2003
Author: Dawn M. Gencarelli

"Medicaidization" of Mental Health
Forum Session — April 9, 2003
Author: Ginger P. Parra

Is Community Care a Civil Right? The Unfolding Saga of the Olmstead Decision
Background Paper — March 12, 2003
Author: Randy A. Desonia

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 23–24, 2003
Authors: Nora Super & Jennifer Ryan

SCHIP Turns Five: Taking Stock, Moving Ahead
Forum Session — September 5, 2002
Author: Jennifer Ryan

SCHIP Turns Five: Taking Stock, Moving Ahead
Issue Brief No. 781 — August 15, 2002
Author: Jennifer Ryan

1115 Ways to Waive Medicaid and SCHIP Rules: A Conversation about Change
Forum Session — June 27, 2002
Author: Jennifer Ryan

1115 Ways to Waive Medicaid and SCHIP Rules
Issue Brief No. 777 — June 13, 2002
Author: Jennifer Ryan

Consumer Direction in Long-Term Care: Implications for Caregivers
Forum Session — April 12, 2002
Author: Nora Super

Child and Family Health Initiatives in the Bay Area
Site Visit — April 2–4, 2002
Authors: Jennifer Ryan & Wakina Scott

Transitions along the Continuum of Care: Elderly and Disabled Persons in New York
Site Visit — March 4–5, 2002
Authors: Lisa Sprague, MBA & Nora Super

Primary Care Case Management: Lessons for Medicare?
Issue Brief No. 768 — October 5, 2001
Author: Lisa Sprague, MBA

Primary Care Case Management: Lessons for Medicare?
Forum Session — October 5, 2001
Author: Lisa Sprague, MBA

Health Insurance Family Style: Public Approaches to Reaching the Uninsured
Issue Brief No. 767 — September 24, 2001
Author: Jennifer Ryan

Health Insurance Family Style: Public Approaches to Reaching the Uninsured
Forum Session — September 24, 2001
Author: Jennifer Ryan

SCHIPing Away at the Uninsured: Lessons from State Flexibility
NHPF/NASHP Session — March 30, 2001
Author: Jennifer Ryan

SCHIP in the Formative Years: An Update
Issue Brief No. 759 — September 21, 2000
Author: Judith D. Moore

SCHIP in the Formative Years: An Update
Forum Session — September 21, 2000
Author: Judith D. Moore

Insuring Virginia's Children: Local Outreach and Enrollment (Northern Virginia)
Site Visit — August 3, 2000
Authors: Lisa Sprague, MBA & Judith D. Moore

Using SCHIP to Subsidize Employment-Based Coverage: How Far Can This Strategy Go?
Forum Session — June 26, 2000
Author: Karl Polzer

Using SCHIP to Subsidize Employment-Based Coverage: How Far Can This Strategy Go?
Background Paper — June 2000
Author: Karl Polzer

Reinventing Medicaid: Hoosier Healthwise and Children's Health Insurance in Indiana
Site Visit — April 17–19, 2000
Authors: Judith D. Moore & Lisa Sprague, MBA

Site Visit to Arizona — Managed Medicaid: Arizona's AHCCCS Experience
Site Visit — January 11–14, 2000
Authors: Nora Super, Lisa Sprague, MBA & Judith D. Moore

CHIP and Medicaid Outreach and Enrollment: A Hands-on Look at Marketing and Applications
Issue Brief No. 748 — October 19, 1999
Author: Judith D. Moore

CHIP and Medicaid Outreach and Enrollment: A Hands-on Look at Marketing and Applications
Forum Session — October 19, 1999
Author: Judith D. Moore

Welfare Reform and Its Impact on Medicaid: An Update
Issue Brief No. 732 — February 26, 1999
Author: Judith D. Moore

Welfare Reform and Its Impact on Medicaid: An Update
Forum Session — February 26, 1999
Author: Judith D. Moore

The State Children's Health Insurance Program: How Much Latitude Do the States Really Have?
Issue Brief No. 725 — October 1, 1998
Author: Richard Hegner

The State Children's Health Insurance Program: How Much Latitude Do the States Really Have?
Forum Session — October 1, 1998
Author: Richard Hegner

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