Increase the efficiency and quality of care for Medicaid and other low-income populations through initiatives to transform service delivery networks. Youth with learning disabilities have increased risk for severe depression and suicide. In January 2017, CMS approved an amendment to establish the Targeted Investments Program, which provides incentive payments to providers for increasing physical and behavioral health integration and coordination for enrollees with behavioral health needs. Cambridge Core is the new academic platform from Cambridge University Press, replacing our previous platforms; Cambridge Journals Online (CJO), Cambridge Books Online (CBO), University Publishing Online (UPO), Cambridge Histories Verma further emphasized the agencys commitment to considering proposals that would give states more flexibility to engage with their working-age, able-bodied individuals. She further noted that CMS will openly consider proposals that promote community engagement and work activities. North Carolinas new pilot program Healthy Opportunities Pilots was approved by CMS in October 2018. In addition to the crises created by the pandemic and the trauma it caused for society at large and nurses, years of racial injustice culminated in tragic events that also shone a light on inequities for people of color. Library of Congress Control Number: 2021938440. The three-year Healthy Indiana Plan 2.0, approved by CMS in January 2015, extends coverage to adults in Indiana with incomes up to 133 percent of the federal poverty guidelines. Legislation signals the states direction with respect to Section 1115 waivers, but it does not reflect the waivers status or likelihood of approval. We would like to thank National Academies staff members who provided invaluable support throughout the project: Micah Winograd, senior finance business partner; the late Daniel Bearss and Anne Marie Houppert, research librarians, for assistance with literature searches; and staff that contributed additional writing and research, including Alix Beatty, Bernice Chu, Carolyn Fulco, and Adrienne Stith-Butler. Update: This waiver was approved in October 2017. The Centers for Medicare & Medicaid Services (CMS) maintains a list of all Section 1115 waivers, including pending, approved and previously approved waivers. States can make many changes to their Medicaid programs without a federal waiver. Jennifer Lalitha Flaubert, Editors, Committee on the Future of Nursing 20202030, THE NATIONAL ACADEMIES PRESSWashington, DCwww.nap.edu, THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001. They may include expanding Medicaid coverage, enacting legislation to define 1115 waiver components, defining payment and delivery system reforms, implementing new eligibility rules or incentives, funding Medicaid reforms, and establishing work groups or task forces to study the issues further. Pending Waiver Amendment Application, July 2017, Maine Section 1115 Demonstration for Individuals with HIV/AIDS The Substance Abuse and Mental Health Services Administration's Office of Applied Studies provides national estimates on mental health problems including a section targeted specifically to youth mental health issues. Section 1115 Research and Demonstration Projects. Digital Object Identifier: https://doi.org/10.17226/25982 Key Waiver Resources and Summaries, Oregon Health Plan 1115 Waiver The National Academies of Sciences, Engineering, and Medicine, The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity, https://www.who.int/campaigns/annual-theme/year-of-the-nurse-and-the-midwife-2020, https://nam.edu/publications/the-future-of-nursing-2020-2030, https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---13-april-2021. Section 1115 of the Social Security Act permits the secretary of the Department of Health and Human Services (HHS) to approve experimental, pilot or demonstration projects that test and evaluate state-specific policy changes in Medicaid and CHIP programs to improve care, increase efficiency and reduce costs without increasing federal Medicaid expenditures. Welcome to the National Association of State Mental Health Program Directors (NASMHPD), home to the only member organization representing state executives responsible for the public mental health service delivery system serving millions of people annually in all 50 states, 6 territories and pacific jurisdictions, and the District of Columbia. States design and improve their Medicaid programs by working within the flexibility allowed under existing federal Medicaid law, using longstanding tools such as Section 1115 waivers to best meet their states unique needs. ; and Margot Putukian, M.D., along with delegates from the partner organizations, reviewed the current scientific literature and clinical evidence to write the new evidence-based statement for clinicians. Not a MyNAP member yet? Search Pending Extension Request, September 2015, Utah Primary Care Network Waiver Expiration Date: December 2020 Still cant find what youre [] "), New York State Codes, Rules and Regulations, New York State Rehabilitation Association, New York State Office of Alcoholism and Substance Abuse Services, New York State Office of Children and Family Services, New York State Office of General Services, Office For People With Developmental Disabilities, Not an acronym, but refers to the Joint Commission of Accreditation of Hospitals Organization (JCAHO) required performance measurement system, New York State Office of the State Comptroller, Office of Special Education & Rehabilitation Services, New York State Office of Temporary and Disability Assistance, Physician's Assistant; Provider Agreement; Public Assistance, Protection and Advocacy for Assistive Technology, Personal Adjustment Training or Practice Assessment Tool, Pervasive Developmental Disorder (sometimes with "NOS" - not otherwise specified - annexed), Preventing and Managing Crisis Situations, Performing Provider System or Prospective Payment System. Waiver Expiration Date: June 2022 Webinar, National Children's Mental Health Awareness Day 2014 Launch Event, Now Available: Children's Mental Health Awareness Day Webcast, Podcast: Tips for Helping Children and Youth Cope in the Aftermath of Disasters, The Girl in the Mirror: Behavioral Health of Adolescent Girls A "Girls Matter!" Check out the Member Hub Pending Amendment Application, June 2017, Arizona Health Care Cost Containment System (AHCCS) 1115 Waiver Nevadas Comprehensive Care Medicaid Section 1115 demonstration implements mandatory care management services throughout the state for a subset of high-cost, high-need beneficiaries who are not eligible for the states existing care management options, including managed care organizations. The Health Care Rights Law, as part of the Affordable Care Act (ACA) prohibits sex discrimination, including anti-transgender discrimination, by most health providers and insurance companies, as well as discrimination based on race, national origin, age, and disability.Under the ACA, it is illegal for most insurance companies to have Key Waiver Resources and Summaries, Hawaii QUEST Integration Hundreds lost their lives, and many thousands became sick themselves. Waiver Expiration Date: December 2017 Promote efficiencies that ensure Medicaids sustainability for beneficiaries over the long term. The year 2020, the bicentennial of Florence Nightingales birth, was designated by the World Health Organization (WHO) as the International Year of the Nurse and the Midwife. International Standard Book Number-13: 978-0-309-68506-1 Waiver Expiration Date: June 2018 Waiver Expiration Date: September 2018 While the 2011 The Future of Nursing report was about building the capacity of the nursing workforce, this report clearly answers the question of to what end. You can quickly leave this website by clicking the X in the top right or by pressing the Escape key twice. Youth from low-income households are at increased risk for mental health disorders: Youth involved in the child welfare and juvenile justice systems are at even higher risk for having a mental health disorder: Youth of color experience disparities in prevalence and treatment for mental health issues: Youth who have disabilities experience mental health issues at higher rates than their peers without disabilities: Many youth also face co-occurring substance abuse and mental health disorders. Key Waiver Resources and Summaries, Wisconsin Badger Care Reform 1115 Waiver Pending Amendment Request, July 2017, MassHealth Search by selecting the first letter of the abbreviation or acronym from the menu above. WebNational Academy for State Health Policy (NASHP) is a nonpartisan organization committed to improving the health and well-being of all people in every state. The Flint, Mich., Section 1115 demonstration enables Michigan to expand Medicaid coverage to all pregnant women and children up to age 21 with incomes up to and including 400 percent of the federal poverty guidelines. Mary Jane De Souza, Ph.D., FACSM, and Nancy Williams, Sc.D., FACSM, both researchers and professors at Pennsylvania State University, have spent many years studying the Female Athlete Triad. Floridas current Section 1115 demonstration allows the state to operate a capitated Medicaid managed care program. MYTH: It's "normal" for female athletes to lose their period, or stop menstruating. Members are elected by their peers for outstanding contributions to research. In other words, the state is allowed a waiver from some of the requirements of the federal program. 13.8 percent reported that they had seriously considered attempting suicide; 10.9 percent had made a plan for how they would attempt suicide; 6.3 percent reported that they had attempted suicide one or more times within the past year;and. Adults with incomes above the poverty level can lose coverage if they do not pay premiums on time. Waiver Expiration Date: December 2020 VII, No. Nursing capacity must be brought to bear on the above complex health and social issues and inequities. In addition, Oregon will continue the Hospital Transformation and Performance Program (HTTP); promote increased investments in health related and flexible services; promote primary care and pay for value; advance tribal health programs; and expand access to coordinated care. These deaths highlighted the reality that serious challenges were being faced, especially by people of color. These waivers allow states to provide a continuum of services to seniors and people with disabilities, so long as all federal requirements are met. Are authorized under Section 1915(c) of the Social Security Act. States may use legislation to address how Medicaid reforms and changes will be financed through their waivers. Barack Obama Key Waiver Resources and Summaries, Michigan Pathway to Integration To extend a Section 1115 demonstration, states must show budget neutrality, provide an evaluation report on the factors they tested in the pilot and comply with public notice rules, among other requirements. Partners Articles. And upstream actions to address SDOH are often rooted in long-standing policies that contribute to inequity in housing, employment, education, and other key precursors to health. Tips for College Students: R U A Survivor of a Disaster or Other Trauma? She achieved this historic feat despite facing several challenges, including the COVID-19 pandemic. ABCDEFGHIJKLMN OPQ RSTU VWXYZ. Nurses are powerful in number and in voice and the world needs their actions now more than ever on how individuals, families, and communities might best be served in a more equitable fashion. This Web site is funded through Grant 2020-V3-GX-0135 from the Office for Victims of Crime, Office of Justice Programs, U.S. Department of Justice. Improve access to high-quality, person-centered services that produce positive health outcomes for individuals. Other states, including Maryland and Minnesota, passed laws in 2013 to implement the Medicaid expansion, while New York and New Mexico incorporated the expansion into their budget enactments. Waiver Expiration Date: December 2018 (NSDUH series H-50). Allow states flexibility to design and improve their Medicaid and CHIP programs. All rights reserved. Click the red X in the upper-right corner or Escape button on your keyboard twice at any time to leave TheHotline.org immediately. To help you find what you are looking for: Check the URL (web address) for misspellings or errors. Click to Enlarge Most youth are healthy, physically and emotionally, yet one in every four to five youth in the general population meet criteria for a lifetime mental disorder that is associated with severe role impairment and/or distress (11.2 percent with mood disorders, 8.3 percent with anxiety disorders, and 9.6 percent behavior disorders). Click to learn more about co-occurring disorders and substance use. CMS approved Californias Section 1115 Medicaid waiver renewal in 2015, known as Medi-Cal 2020. CMS approved Arizonas waiver in September 2016 to continue the states Medicaid managed care delivery system; integrate physical and behavioral health; cover adult dental benefits to Arizona Long Term Care Services beneficiaries up to $1,000 annually; and create a new voluntary beneficiary engagement initiative for adults with incomes between 100 percent and 133 percent of the federal poverty guidelines. Waiver Expiration Date: December 2018 The Delaware Diamond State Health Plan (DSHP) demonstration, initially approved in 1995, enrolls most Medicaid recipients into managed care organizations (MCOs) to create efficiencies in the Medicaid program and expand coverage to certain individuals who would otherwise not be eligible for Medicaid. We are grateful to a very committed expert group of committee members who spent countless hours discussing, debating, and then reaching consensus around some very difficult topics. The funding would allow the Centers for Disease Control and Prevention (CDC) to develop an initial system that will collect necessary data to determine the incidence of sports-related concussions. Together, the 27 Members of the College are the Commission's political leadership during a 5-year term. Psychiatric Services and Clinical Knowledge Enhancement System, Qualified Mental Retardation Professional, Substance Abuse and Mental Health Services Administration, Strategies for Crisis Intervention & Prevention, Strategies for Crisis Intervention & Prevention-Revised, State-Operated Intermediate Care Facility, School Supportive Health Services Program, Service for Treatment and Abatement of Interpersonal Risk, Transitional Employment Placement or Program, Trauma Focused Cognitive Behavioral Therapy, Technology-Related Assistance for Individuals with Disabilities Act, Vocational & Educational Services for Individuals with Disabilities, Voluntary Operated Community Residence. Most also expanded the program through a state plan amendment and didnt need a waiver, but eightstatesArizona, Arkansas, Indiana, Iowa, Michigan, Montana, New Hampshire and Ohioimplemented the expansion in unique ways that did require a Section 1115 waiver. 2 Town hall recordings and materials can be accessed at https://nam.edu/publications/the-future-of-nursing-2020-2030 (accessed April 13, 2021). The growing visibility of the impacts of systemic racism in almost every aspect of peoples livespolicing, health care, the economy, educationis evident. States can apply for program flexibility to waive certain provisions of the federal Medicaid law and test policy innovations that promote Medicaid program objectives. Dr. Marcia McNutt is president. The waiver allows states to meet the needs of a target group by age or population, such as individuals with autism, cerebral palsy or HIV/AIDS. Key Waiver Resources and Summaries. As shown in the chart below, states designed their waivers to reform their delivery system, expand coverage to targeted groups, integrate behavioral and physical health or otherwise improve behavioral health services, and deliver long-term services and supports through managed care organizations. Key Waiver Resources and Summaries, Washington Medicaid Transformation Project 1115 Waiver Standard services include case management, homemaker, home health aide, personal care, adult day health services, day and residential habilitation and respite care. Pending Amendment Request, June 2017. According to CMS, the approach streamlines the extension process for those states with established demonstrations that are working successfully and who are not proposing to make major or complex policy changes to the demonstration.. The committee appreciates the contributions of Molly Ellison and Janet Firshein, who provided strategic communications support for this report through the communications firm Burness. Phone: 215-686-4420 7 days a week/24 hours per day. The Office of Population Affairs website provides information on a range of topics including mental health. Key Waiver Resources and Summaries, New York Medicaid Redesign Team (formerly called Partnership Plan) 1115 Waiver Members are elected by their peers for distinguished contributions to medicine and health. Section 1915(c) waivers allow states to provide long-term services and supports for certain Medicaid populations in home- and community-based settings instead of within institutional settings such as nursing facilities. Get the latest coverage and analysis on everything from the Trump presidency, Senate, House and Supreme Court. Key Waiver Resources and Summaries, Florida Managed Medical Assistance (MMA) 1115 Waiver Waiver Expiration Date: December 2018 Section 1915(c) waivers. Following are some examples of state legislation used to facilitate Medicaid expansion waivers. National Domestic Violence Hotline Sixty-seven to seventy percent of youth in the juvenile justice system have a diagnosable mental health disorder. ACSM members can now access all of the member benefits in the new Member Hub! In 2019, all 50 states and the District of Columbia had at least one program that provided assistance to people living outside of nursing homes, and most states offer more than one program. Waiver Expiration Date: December 2017 | Key Waiver Resources and Summaries, North Carolinas Medicaid Reform Demonstration Health Report: Psychotropic Medication Use among Children Who Are Subjects of Child Protective Services Investigations: Does Court Oversight Matter? Approved waivers test a wide range of policy approaches and states use waivers for a variety of purposes. If youre concerned your internet usage might be monitored, call us at 800.799.SAFE (7233). Waiver Expiration Date: December 2018 Arkansas Works 1115 Waiver According to WHO, Nurses and midwives play a vital role in providing health services. Free Essays Samples for Students by StudyCorgi Key Waiver Resources and Summaries. 14, 2022, ACSM Chinese Certified Personal Fitness Trainer, Exam Performance and Certification Operations, Exercise Professional Resources & Updates, ACSMs Guidelines for Exercise Testing and Prescription, ACSM's Resources for the Personal Trainer, ACSM's Resources for the Exercise Physiologist, ACSM's Resources for the Group Exercise Instructor, ACSM's Foundations of Strength Training and Conditioning, ACSM's Health/Fitness Facility Standards and Guidelines, ACSM's Complete Guide to Fitness and Health, Preparticipation Physical Evaluation (PPE) Monograph, 5th Edition, Pronouncements & Scientific Communications, COVID-19 Reopening and Return to Play Resources, Integrative Physiology of Exercise Conference, Mayo Clinic Comprehensive Sports Medicine Update and Board Review, Support the Exercise Science and Sports Medicine Community this Giving Tuesday, Your Online Education Purchase Supports the ACSM Foundation, Annual Meeting Abstract and Travel Award Deadlines, ACSM Resources on Sports-Related Concussions, Celebrate National Youth Sports Week with ACSM and NYSHSI, Arlington, Va., Named Fittest City in 2022 American Fitness Index Ranking, ACSM Journals Continue to Rank High in Journal Citation Reports, The Short- and Long-Term Benefits of Presenting Your Work at the ACSM Annual Meeting, Tips for Presenting an Award-Winning Poster at an ACSM Regional Chapter Meeting, 11 Tips for Instructors Bringing Students to ACSM Regional Chapter Meetings. HHS proposes to revise a stringent federal rule governing the privacy of medical records of drug, alcohol abuse and many behavioral health patients. Nurses, working with social services sectors in and across community-based ambulatory care and public health settings to implement health system and point-of-care interventions, can help advance continuous care models that are individual- and population-centered. Read about one youths experience in AmeriCorps National Civilian Community Corps (NCCC). We are also grateful to the talented staff of the National Academies of Sciences, Engineering, and Medicine who worked tirelessly with us to create this report. Work requirement policies in Arkansas, Kentucky, and New Hampshire were set aside by the courts and that decision is under appeal. Webinar, Watch Archived Session: ACA and Its Impact on Recovery Services, Webinar Recording: Bullying Prevention and Suicide Prevention for Schools, Centers for Disease Control and Prevention: Coping With a Disaster or Traumatic Event, Online Community for Children of Military Families, Resource: Child and Adolescent Mental Health, How Individualized Education Program (IEP) Transition Planning Makes a Difference for Youth with Disabilities, Youth Transitioning to Adulthood: How Holding Early Leadership Positions Can Make a Difference, How Trained Service Professionals and Self-Advocacy Makes a Difference for Youth with Mental Health, Substance Abuse, or Co-occurring Issues, Young Adults Formerly in Foster Care: Challenges and Solutions, Coordinating Systems to Support Transition Age Youth with Mental Health Needs, Civic Engagement Strategies for Transition Age Youth, Prevalence of Mental Health Disorders Among Youth. These are the people who devote their lives to caring for mothers and children; giving lifesaving immunizations and health advice; looking after older people and generally meeting everyday essential health needs. How can I do better? In a time marked by COVID-19s unprecedented global health challenges, nurses have stepped upmany times at great personal cost to themselves. There is now deeper evidence and understanding of the differential impact of generations of inequity associated with racism and bias, socioeconomic status, disabilities, financial poverty, and living in areas with decreased health care access that has fueled compromised health status for many of our fellow Americans. Approved waivers test a wide range of policy approaches and states use waivers for a variety of purposes. This was to serve as a parallel effort to other National Academy of Medicine reports and initiatives sponsored by RWJF around efforts to create a more robust culture of health in the United States. 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