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Healthy Adult Opportunity Fact Sheet CMS

(2 days ago) People also askWhat is the healthy adult opportunity (Hao)?The Healthy Adult Opportunity (HAO) emphasizes the concept of value-based care while granting states with extensive flexibility to administer and design their programs within a defined budget.Healthy Adult Opportunity Fact Sheet CMScms.govAre healthy adult program members enrolled with a patient-centered medical home (PCMH) provider?Healthy Adult Program members are considered fee-for-service and will not be enrolled with a Patient-Centered Medical Home (PCMH) provider and no referral is required at this time. Some services and medications may require prior authorization (PA). No changes were made to the online PA process using the secure provider portal.SOONERCARE EXPANSION: HEALTHY ADULT PROGRAM - Oklahoma.govoklahoma.govWhat does CMS' SDOH guidance mean for Medicaid and chip populations?With the release of today’s SDOH guidance, CMS acknowledges that an understanding of the social, economic, and environmental factors that affect the health outcomes of Medicaid and CHIP populations can be an integral component of states’ efforts to realign incentives, reduce costs, and advance value-based care in their health systems.CMS Issues New Roadmap for States to Address the Social Determinan…cms.govWhere are adult day services most prevalent?Adult day services are prevalent in areas across the country, particularly California, New England and southern states, such as Tennessee, which experienced a 20% increase in these programs in the past 13 months, Zagorski said. Meanwhile, middle America and rural areas struggle to either staff or fill the centers with clients.Adult day services provide stimulation for older Americans, and respite f…abcnews.go.comFeedbackCenters for Medicare & Medicaid Serviceshttps://www.cms.gov/newsroom/fact-sheets/healthy-adult-opportunityHealthy Adult Opportunity Fact Sheet CMSWEBThe Healthy Adult Opportunity (HAO) emphasizes the concept of value-based care while granting states with extensive flexibility to administer and design their programs within a defined budget. This state opportunity will enhance the Medicaid program’s integrity through its focus on accountability for results and quality …

https://www.cms.gov/newsroom/fact-sheets/healthy-adult-opportunity-fact-sheet#:~:text=Healthy%20Adult%20Opportunity%20Fact%20Sheet%201%20Beneficiary%20Protections,Enrollment%20Processes%203%20Benefit%20Design%20and%20Drug%20Coverage

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Healthy Adult Opportunity (HAO) - Medicaid.gov

(5 days ago) WEBThe Health Adult Opportunity (HAO) is designed to provide states: Greater flexibility to improve the health of their Medicaid populations while holding states accountable for a defined budget, the quality of care provided to beneficiaries, and providing access to high quality health care services. An opportunity to access a full array of

https://www.medicaid.gov/medicaid/section-1115-demo/downloads/how-states-apply/hao-overview.pdf

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CMS’s Healthy Adult Opportunity: What You Need to Know

(9 days ago) WEBOn, January 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released a . State Medicaid Director (SMD) letter and fact sheet encouraging states to pursue block grant or per capita cap funding mechanisms through their Medicaid programs as part of the new Healthy Adult Opportunity (HAO).

https://www.mcdermottplus.com/wp-content/uploads/2020/02/Healthy-Adult-Opportunity-Full-Summary.pdf

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CMS Releases Long-Awaited “Healthy Adult Opportunity” …

(Just Now) WEBOn January 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released its long-awaited “Healthy Adult Opportunity” initiative inviting states to alter the financing structure of their Medicaid programs. Under the new initiative, states may apply for waiver authority to implement a block grant or per-capita-cap financing model.

https://www.acog.org/news/news-articles/2020/02/cms-releases-long-awaited-healthy-adult-opportunity-initiative

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How Does the Healthy Adult Opportunity Relate to Medicaid …

(7 days ago) WEBThe optional demonstration model outlined by CMS, dubbed the Healthy Adult Opportunity (HAO), A Primer 2019, states currently operate their Medicaid programs within federal standards, which include statutory and regulatory requirements as well as programmatic guidance. The amount of federal funding a state receives for …

https://www.khi.org/articles/a-kansas-twist-2021-how-does-the-healthy-adult-opportunity-relate-to-medicaid-expansion/

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CMS Announces Medicaid “Healthy Adult Opportunity” …

(1 days ago) WEBThe Centers for Medicare and Medicaid Services (CMS) Jan. 30 announced the Healthy Adult Opportunity (HAO), an optional Medicaid demonstration initiative that would essentially block grant payments to states that expand coverage to adults under age 65 who are not otherwise eligible for Medicaid and who are not eligible under a current …

https://www.aamc.org/advocacy-policy/washington-highlights/cms-announces-medicaid-healthy-adult-opportunity-demonstration

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Healthy Adult Opportunity - Milliman

(6 days ago) WEBThe Healthy Adult Opportunity offers states new flexibilities for their Medicaid programs in return for assuming the financial risk of block grants. State program directors face many complex considerations as they evaluate these options. On January 30, the Centers for Medicare and Medicaid Services (CMS) introduced guidance1 describing the new

https://www.milliman.com/-/media/milliman/pdfs/articles/healthy-adult-opportunity.ashx

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CMS Releases Medicaid Block Grant Plan: Healthy Adult Opportunity

(8 days ago) WEBThe announcement marks the culmination of a decades-long goal by Republicans to transition state Medicaid programs into block grants as a way to cap spending and increase flexibility in managing

https://www.healthleadersmedia.com/strategy/cms-releases-medicaid-block-grant-plan-healthy-adult-opportunity

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SOONERCARE EXPANSION: HEALTHY ADULT PROGRAM

(Just Now) WEBOn June 30, 2020, the Oklahoma Medicaid Expansion Initiative, State Question 802, passed by a majority vote to expand Medicaid eligibility to adults ages 19-64 whose income is 138% (133% with a 5% disregard) of the federal poverty level or lower. Adults began applying for SoonerCare on June 1, 2021. Benefits for newly eligible SoonerCare …

https://oklahoma.gov/content/dam/ok/en/okhca/docs/providers/training/2021/SoonerCare%20Expansion%20-%20HAP.pdf

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CMS Unveils Healthy Adult Opportunity - Health Management …

(6 days ago) WEBThis week, our In Focus section comes from HMA Medicaid Market Solutions (MMS) Managing Director Matt Powers and Senior Consultant Desmond Banks. On January 30, 2020, the Centers for Medicare & Medicaid Services (CMS) convened an event titled, Transforming Medicaid: A New Opportunity for Better Health, in …

https://www.healthmanagement.com/blog/cms-unveils-healthy-adult-opportunity/

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Healthy Opportunities NCDHHS

(3 days ago) WEBHealthy Opportunities. All North Carolinians should have the opportunity for health. Access to high-quality medical care is critical, but research shows up to 80 percent of a person’s health is determined by social and environmental factors and the behaviors that emerge as a result. DHHS is focusing on tackling these fundamental drivers of

https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities

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Quality of Care for Children and Adults in Medicaid Health …

(4 days ago) WEBEach year, CMS releases Health Home Core Set data for measures that were reported for at least 15 health home programs and that met CMS’s standards for data quality. For FFY 2022, CMS is publicly reporting performance on 12 of the 13 Health Home Core Set measures. CMS is publicly reporting two Health Home Core Set measures

https://www.medicaid.gov/state-resource-center/medicaid-state-technical-assistance/downloads/2022-health-home-fact-sheet.pdf

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How U.S. Health Care Providers Address Social Drivers of Health

(6 days ago) WEBWe use U.S.-specific data from the Commonwealth Fund 2023 International Health Policy Survey of adults 18 years and older; U.S.-specific data from the Fund’s 2022 International Health Survey of Primary Care Physicians; and information from state Medicaid programs. (For more details, see “How We Conducted This Study.”)

https://www.commonwealthfund.org/publications/issue-briefs/2024/may/how-us-health-care-providers-are-addressing-drivers-health

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2023 Medicaid & CHIP Beneficiaries at a Glance: Adult …

(9 days ago) WEBNumber and Percentage of Adult Medicaid and CHIP Beneficiaries by Age and Sex, 20224 44.9 % 5.7 M 39.6 % 46.3 % 38.0 % 55.1 % 60.4 53.7 62.0 % Ages 18–25 Ages 26–44 Ages 45–64 Age 65 and older 7.0 M by other health care programs or plans. 2. This infographic summarizes the characteristics, access to care, and service utilization for

https://www.medicaid.gov/medicaid/quality-of-care/downloads/adult-behavioral-health-infographic.pdf

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Division of Senior Services - Bergen County New Jersey

(5 days ago) WEBMission: Bergen County Division of Senior Services (DSS) was established in 1966 under Federal Legislation of the Older Americans Act. It is the primary planning, coordinating, and funding agency for senior programs and services, promoting the well-being, health, and independence of Bergen County’s 220,000 older adults.

https://www.co.bergen.nj.us/division-of-senior-services

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Where ACA Marketplace Enrollment is Growing the Fastest, and Why

(7 days ago) WEBIn 2024, Affordable Care Act (ACA) Marketplace enrollment hit a new record high, reaching over 21 million people, almost double the 11 million people enrolled in 2020.This growth can be largely

https://www.kff.org/policy-watch/where-aca-marketplace-enrollment-is-growing-the-fastest-and-why/

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Significant Cost Savings Realized as Healthy Opportunities Pilots …

(8 days ago) WEBAs the Healthy Opportunities Pilots (HOP) program reaches its second anniversary, results from an independent study prove that the program is a success. HOP is the nation’s first comprehensive program to test and evaluate the impact of providing select evidence-based, non-medical interventions related to housing, food, transportation and …

https://www.ncdhhs.gov/blog/2024/05/21/significant-cost-savings-realized-healthy-opportunities-pilots-reach-two-year-anniversary

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Day Programs - New Jersey Institute for Disabilities - NJID

(2 days ago) WEBNJID's Adult Day Programs serve persons with disabilities at five Adult Training Centers throughout New Jersey. Recognizing the individuality of every client, programs are tailored to exceed the expectations of the individuals and families who turn to NJID for services and supports. Beginning with the creation of Individualized Service Plans

https://www.njid.org/dayprograms

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Medicaid unwinding deals blow to tenuous care - Health News …

(2 days ago) WEBAbout a year into the process of redetermining Medicaid eligibility after the covid-19 public health emergency, more than 20 million people have been kicked off the joint federal-state program for low-income families. A chorus of stories recount the ways the unwinding has upended people’s lives, but Native Americans are proving particularly …

https://health.wusf.usf.edu/health-news-florida/2024-05-24/medicaid-unwinding-deals-blow-to-tenuous-care-system-for-native-americans

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Buddies NJ – Serving people infected and affected by HIV/AIDS

(6 days ago) WEB1919 JFK Boulevard North Bergen, NJ 07047 Office: 201-608-0857. Buddies of NJ, Inc. (NJB), 501 (c) (3) is Bergen and Passaic County’s Premier AIDS SERVICE ORGANIZATION. Your support makes it possible to provide: Service, Education, Resources, and Care to People Living With and affected by HIV/AIDS. Buddies provides …

https://www.njbuddies.org/

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NJ’s Changing Service Delivery System for Adults with - Everas

(3 days ago) WEBOnce the changes are fully implemented, adults age 21 and older who are both DDD-eligible and Medicaid-eligible – with the exception of those individuals enrolled on the Medicaid Community Care Waiver (CCW) – will access employment/day services, and individual and family support services through DDD’s new initiative known as the …

https://www.everas.org/njs-changing-service-delivery-system-for-adults-with-developmental-disabilities/

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Adult day services provide stimulation for older Americans, and …

(2 days ago) WEBThe stigma of aging may also play a role in adult day programs being underused, said Georgia Goodman, director of Medicaid at LeadingAge, which represents more than 5,400 aging services.

https://abcnews.go.com/Health/wireStory/adult-day-services-provide-stimulation-older-americans-respite-110501715

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This COVID vaccine program offered a ‘bridge’ to uninsured …

(9 days ago) WEBThe Centers for Disease Control and Prevention launched the Bridge Access Program to connect U.S. adults with little to no health insurance to COVID vaccines. But funding cuts mean it will end

https://www.pbs.org/newshour/health/this-covid-vaccine-program-offered-a-bridge-to-uninsured-adults-and-then-the-funding-crumbled

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Behavioral Health Loan Repayment Program (BHLRP) - State of …

(6 days ago) WEBThe MDHHS Behavioral Health Loan Repayment Program (BHLRP), previously known as the MI Kids Now Loan Repayment Program (MKN LRP), is a medical education debt repayment program focused on incentivizing behavioral health care providers to practice in underserved areas in Michigan. Eligible providers will receive student loan repayment for

https://www.michigan.gov/mdhhs/doing-business/providers/behavioral-health-loan-repayment-program

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About Oral Health Oral Health CDC

(8 days ago) WEBOverview. Oral health refers to health of the teeth, gums, and entire oral-facial system. Many children and adults experience poor oral health due to common oral diseases such as cavities (tooth decay) and periodontal (gum) disease—both of which are the leading causes of tooth loss. 1 In the United States, more than half of children and …

https://www.cdc.gov/oral-health/about/index.html

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Healthy Adult Opportunity - Full Summary - McDermott+Consulting

(8 days ago) WEBCMS’s Healthy Adult Opportunity: What You Need to Know. On, January 30, 2020, the Centers for Medicare and Medicaid Services (CMS) released a State Medicaid Director (SMD) letter and fact sheet encouraging states to pursue block grant or per capita cap funding mechanisms through their Medicaid programs as part of the new Healthy …

https://www.mcdermottplus.com/insights/healthy-adult-opportunity-full-summary/

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Healthy Adult Opportunity Fact Sheet TEST Guidance Portal

(9 days ago) WEBThe Healthy Adult Opportunity (HAO) emphasizes the concept of value-based care while granting states with extensive flexibility to administer and design their programs within a defined budget. This state opportunity will enhance the Medicaid program’s integrity through its focus on accountability for results and quality …

https://www.hhs.gov/guidance/document/healthy-adult-opportunity-fact-sheet-test

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Public Health Considerations for Correctional Health

(6 days ago) WEBCorrectional health is community health. CDC provides treatment guidelines and other correctional health resources. Correctional health encompasses all aspects of health and well-being for adults and juveniles who are justice system*-involved. This starts at the point of arrest, continues at detention or incarceration, and carries through after

https://www.cdc.gov/correctional-health/about/index.html

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About Adverse Childhood Experiences Adverse Childhood …

(1 days ago) WEBOutcomes. ACEs can have lasting effects on health and well-being in childhood and life opportunities well into adulthood. 9 Life opportunities include things like education and job potential. These experiences can increase the risks of injury, sexually transmitted infections, and involvement in sex trafficking.

https://www.cdc.gov/aces/about/index.html

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Thousands of Immigrants in Illinois May Lose Their Health Care as

(7 days ago) WEBThousands of undocumented Illinois residents are in jeopardy of losing health care coverage from a pair of state programs. The programs rolled out during the pandemic, providing benefits for immigrant adults and seniors. They offered health coverage for low-income individuals who did not qualify for Medicaid because of their …

https://news.wttw.com/2024/05/24/thousands-immigrants-illinois-may-lose-their-health-care-advocates-call-more-funding

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Unlocking Better Health: The Role of Personal Health Literacy in

(6 days ago) WEBOver half, 51% of all insured adults, report difficulty understanding at least one aspect of their health insurance plans. This complexity is further magnified for adults over the age of 65 who

https://medcitynews.com/2024/05/unlocking-better-health-the-role-of-personal-health-literacy-in-medicare-advantage-enrollment/

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A Look at the Latest Alcohol Death Data and Change Over the Last …

(8 days ago) WEBWhen adjusted for population growth and age, the alcohol death rate has risen by 70% from 2012 to 2022, moving from 7.97 to 13.53 deaths per 100,000 people. Although deaths fell somewhat in 2022

https://www.kff.org/mental-health/issue-brief/a-look-at-the-latest-alcohol-death-data-and-change-over-the-last-decade/

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At one-year mark, more than 1.6 million Michigan residents have

(8 days ago) WEBMore than 137,000 beneficiaries renew coverage in April. LANSING, Mich. – As the redetermination process reaches the one-year mark, the Michigan Department of Health and Human Services (MDHHS) renewed Medicaid and Healthy Michigan Plan coverage for an additional 137,685 people whose eligibility was up for renewal in April, …

https://www.michigan.gov/mdhhs/inside-mdhhs/newsroom/2024/05/24/april-medicaid

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First Look: Understanding the Governor’s 2024-25 May Revision

(8 days ago) WEBGovernor Gavin Newsom released a summary of the May Revision to his proposed 2024-25 California state budget on May 10, projecting a $44.9 billion shortfall, or $27.6 billion shortfall, when taking into account early budget action taken by the legislature in April to reduce the shortfall by $17.3 billion.

https://calbudgetcenter.org/resources/first-look-understanding-the-governors-2024-25-may-revision/

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