Health Reform Hub

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Funding Opportunity for Patient Centered Outcomes Researchers

The Agency for Healthcare Research and Quality solicits applications for a new multi-year, large-scale funding opportunity to support the development of Patient Centered Outcomes (PCOR) researchers. PCOR seeks to integrate evidence into practice and decision-making in the United States health care system. Applicants can be academic or non-academic institutions, (e.g., the health care delivery system, state and local governments, health plans, and research networks).



Health Reform Implementation Timeline

Website  from

The implementation timeline is an interactive tool designed to explain how and when the provisions of the health reform law will be implemented over the next several years. You can show or hide all the changes occurring in a year by clicking on that year. Click on a provision to get more information about it. Customize the timeline by checking and unchecking specific topics.



Model Streamlined Eligibility Application for Heath Insurance Exchanges

On April 30, 2013, CMS released the model single, streamlined application. States may choose to use the model application, or may develop an "alternative" application that is approved by CMS. For states in which there is a Federally-facilitated Marketplace the state's Medicaid/CHIP agency will accept the model form and may, in addition, develop an alternative application approved by CMS. Beginning on October 1, 2013, the new Health Insurance Marketplace, also known as the Affordable Insurance Exchange, and State Medicaid and Children's Health Insurance Program (CHIP) agencies will use a single, streamlined application to determine eligibility for enrollment into Qualified Health Plans (QHPs) and for insurance affordability programs including advance payments of the premium tax credit (APTCs), cost-sharing reductions (CSRs), Medicaid, and CHIP.



New Navigators and In-Person Assisters Online Resource Center from Families USA

The new Navigator and In-Person Assisters Resource Center provides the latest news and necessary resources to assist those trying to plan and establish effective navigator programs.



Navigators and In-Person Assistors: State Policy and Program Design Considerations

The Affordable Care Act (ACA) and related guidance have established Navigators and In-Person Assistors (IPAs) to help individuals enroll in Health Benefit Exchanges (Exchanges). Several states have begun to make policy and operational decisions about both Navigator and In-Person Assistor programs that could be informative to other states. This brief is designed to provide basic information about the Navigator and IPA programs, outline important policy issues, and share resources and ideas from leading states. It is part of a developing series of reports related to consumer assistance and reflects an effort to curate the growing number and depth of resources available to state policymakers on this topic.



New Health Homes Information Resource Center Launched on

Health Homes resources previously provided by Integrated Care Resource Center (ICRC) are now moving to



State Medicaid Integration Tracker April 2013 Edition Published

NASUAD has published the April 2013 Edition of the State Medicaid Integration Tracker. The report is updated each month with information on the following state actions: 1) Managed care for people who receive Medicaid-funded long-term services and supports (LTSS); 2) State Demonstrations to Integrate Care for Dual Eligible Individuals and other Medicare-Medicaid Coordination Initiatives; and 3) Other LTSS Reform Activities including Balancing Incentive Program (BIP), Medicaid State Plan amendments under 1915(i), Communities First Choice Option under 1915(k), and Medicaid Health Homes.



Two-Thirds of States Integrating Medicare and Medicaid Services for Dual Eligibles

AARP, NASUAD, and Health Management Associates released an infographic for the recently released report: "Two-Thirds of States Integrating Medicare and Medicaid Services for Dual Eligibles." The new research from AARP, NASUAD, and Health Management Associates finds that two-thirds of states either have or will launch new initiatives to better coordinate care for people who are dually eligible for Medicare and Medicaid services over the next two years. To contain the growth of costs and improve care, many are moving to risk-based managed long-term services and supports models. This research finds that a number of states are exploring approaches to dual services integration outside of the CMS models.



HHS Releases Final Applications for Health Insurance

HHS has released the final version of the applications that individuals and families will use to apply for health insurance in the Health Insurance Marketplaces (Exchanges)



CMS releases latest ACA FAQ

This set of FAQs addressed the federal match for maintenance and operation, communication between federally facilitated exchanges and Medicaid, and 1115 demonstrations.

pdf File CIB-04-25-2013.pdf [download]


Consumer Assistance in Health Reform

Consumer Assistance in Health Reform outlines the need for hands-on consumer assistance, the resources available under the ACA to fill this need, and the implementation issues that may impact the effectiveness of consumer assistance efforts. It lays out specific situations, such as determining eligibility for subsidies, that may cause confusion for consumers; distinguishes between different sources of consumer assistance; and identifies factors that vary from state to state that could influence the effectiveness of these efforts.



Navigator and In-Person Assistance Programs: A Snapshot of State Programs

Navigator and In-Person Assistance Programs: A Snapshot of State Programs provides additional details on some of the policy decisions states are making as they set up their programs, and briefly describes the programs in a few key states.



Request Managed Care Technical Assistance

The Centers for Medicare & Medicaid Services (CMS) is pleased to announce the new Medicaid Managed Care Technical Assistance Center on In collaboration with Mathematica Policy Research, Centers for Health Care Strategies, Manatt Health Solutions, and the National Committee for Quality Assurance (NCQA), CMS will provide individualized technical assistance to the states on managed care program operations, including planning and procurement, benefit design and serving the needs of complex populations, access and quality, and the use of data for program oversight and management. The Medicaid Managed Care Technical Assistance Center is part of CMS's larger efforts to provide comprehensive information and guidance on Medicaid managed care program operations.



States' Medicaid ACA Checklist for 2014

This checklist prepared by the National Academy for State Health Policy (NASHP) highlights the ACA Medicaid requirements that will take effect in the next two years, nearly all of which will apply to states regardless of whether the state chooses to expand Medicaid eligibility. The checklist also highlights a few important optional provisions that states may want to consider as they plan for modernizing their Medicaid programs and complying with federal requirements. The checklist is divided into five domains of work for states' Medicaid programs: eligibility and enrollment; operations; financing; benefits; and consumer assistance.



Funding Opportunity: National Center for Family/Professional Partnerships

This announcement solicits applications for a cooperative agreement for the National Center for Family/Professional Partnerships.

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