Pre-Conference Workshop

Medicaid Inner Workings:

Program Basics and Key Variations

(Plus: A Special Update on Behavioral Health Care)

+ Sunday, September 8 | 1 to 5pm
+ Chicago Marriott Downtown Magnificent Mile

Pre-Conference Workshop

Medicaid Inner Workings:

Program Basics and Key Variations

(Plus: A Special Update on Behavioral Health Care)

Sunday, September 8 | 1 to 5pm
Chicago Marriott Downtown Magnificent Mile

About the Pre-Conference

HMA’s Pre-Conference Workshop is aimed at providing attendees with an understanding of the basic building blocks of Medicaid as well as an update on the changing landscape for Medicaid programs and policies.

This year’s session is titled Medicaid Inner Workings: Program Basics and Key Variations and will emphasize how Medicaid is designed to serve traditional beneficiaries as well as special populations, including individuals with intellectual and developmental disabilities, serious mental illness, and substance use disorders.

Due to the increasing recognition of the need to integrate medical and behavioral healthcare and the alarming increase in drug overdoses, this workshop will also include a special update on how state Medicaid systems are approaching behavioral healthcare, including a discussion about carve-ins, special needs plans, and Prepaid Health Plans for Behavioral Healthcare.

The workshop is designed to serve as a foundation for the more in-depth discussions that will follow at HMA’s conference September 9-10.

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

WHO SHOULD ATTEND?

Anyone with a basic or general understanding of Medicaid and Medicaid managed care interested in strengthening their understanding of the current Medicaid landscape.

Medicaid Inner Workings:
Program Basics and Key Variations will cover:
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Medicaid waivers and State Plan Amendments

including Section 1115 Demonstration Waivers, 1915(c) Home and Community Based Services Waivers, 1332 State Innovation Waivers, and more.
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Medicaid managed care

including the procurement process, rate setting, penetration of managed care versus fee-for-service, optional versus mandatory services, and the growing role of health plans in covering vulnerable populations.
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Delivery system reform and practice transformation initiatives

including the basics about the Delivery System Reform Payment (DSRIP) Program, Accountable Care Organizations, behavioral health integration, telemedicine, medical homes, social determinants of health, and person-centered care.
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Payment and funding models

including the basics on existing Medicaid models, value-based payments, risk-sharing, per-capita caps, block grants, and more.
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Behavioral healthcare

including coverage models, integration with medical care, integration with social services, and the growth of behavioral health Independent Practice Associations.
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Substance Abuse Disorders

Medicaid systems of care for beneficiaries with substance abuse disorders
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OTHER TOPICS WILL INCLUDE

updates on the Affordable Care Act, Medicaid expansion, Medicaid work requirements, rebalancing, dual eligibles, and managing risk.

Sponsored by:

Have Questions? Contact Us

(212) 575-5929

Transfers, Cancellations and Refunds Policy

Registrants may transfer their registration to another person at any time by notifying Lis Diaz (ldiaz@healthmanagement.com) in writing. Cancellations must be made in writing to Lindsey Beck (lbeck@healthmanagement.com). Refunds minus a 20% service charge are available for cancellations received in writing 45 days or more prior to the start of the conference. No refunds are available thereafter.