Pilot in Two States Showing Success
NACDD’s Medicaid Demonstration Project,funded by the CDC, is showing how state Medicaid agencies and state health departments can collaborate to implement and deliver a sustainable coverage model for the National DPP. Maryland and Oregon, which are the two states in the project, met nearly all of their enrollment goals by January 2018. The final six months of the project, will focus on sustaining the program through participant retention and engagement, as well as a continued focus on refining coverage models in Medicaid. Data on participant satisfaction and outcomes, program structure, implementation, cost, and evaluation results will be available in October 2018. This information will be useful as others strive to achieve coverage of the National DPP for Medicaid beneficiaries in their states.
What’s New in the National DPP Coverage Toolkit?
There is a new easy-to-remember URL for the National DPP Coverage Toolkit. Please help spread the word. A simple way to do this is to add the following to your email signature and invite your partners to do the same.
New URL for the National DPP Coverage Toolkit!
We recommend that you bookmark the new URL, then clear your cache.
2703 Medicaid Health Homes
A new section has been added to the National DPP Coverage Toolkit, titled “Attaining Coverage Through a 2703 Medicaid Health Home,” which describes how 2703 Medicaid health homes potentially could be used to support either implementation of or referrals to the National DPP lifestyle change program. Medicaid health homes, implemented through a 2703 State Plan Amendment (SPA), allow states to provide care management services for eligible beneficiaries who have two or more chronic diseases, one chronic condition, and are at risk for another, or a serious and persistent mental health condition. Qualifying health home services include: comprehensive care management, care coordination and health promotion, comprehensive transitional care/follow-up, patient and family support, referral to community and social support services, and use of health information technology to link services. These services receive a 90 percent federal match for the first eight fiscal quarters that the 2703 SPA is in effect.
Case for Coverage
The newly developed “Building a Case for Coverage in Medicaid” section on the National DPP Coverage Toolkit provides step-by-step guidance to public health professionals and their Medicaid colleagues for making coverage a reality within their state. The first step of this process is building relationships and maintaining communication between Medicaid and public health. As expressed in a 2014 interview with a state public health employee, “I am not even sure where my colleague sits within the Medicaid agency, who they report to, or what the goals of their section within the agency are!” Beyond relationship building and communication, the five-step process includes: gathering data and creating a budget projection; coverage planning; creating leadership buy-in; and implementation, education, and evaluation of coverage.
Coverage Toolkit Webinars
Please watch for announcements of upcoming webinars that feature the National DPP Coverage Toolkit and highlight different payer types. More information and links to recorded webinars are available on the Using this Site page.
Stay Connected to CMS
To receive the latest information visit the Centers for Medicaid and Medicare (CMS) and select specific topics of your choice. Scroll to bottom right, and click “Receive Email Updates”. You may change your preferences anytime.