medicaid administrative claiming · 2020-07-20 · medicaid administrative claiming . providesa...
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MEDICAID ADMINISTRATIVE CLAIMING
PROVIDES A SOURCE OF FUNDING TO SUSTAIN Medicaid Administrative Claiming supports efficient and
THE NWD SYSTEM effective administration of the Medicaid program.
State Medicaid Aging and Disability
·------------- · Agency Network Agencies I I
I I . --- . .--- . ·------------ · • - - - ■ ■ - - - •
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Reviews claim I I I I I I I
I in CMS 64 I I I 1 - Monitors time studies 1
I I I II .I Report I I
I Approves Medicaid I
I : - Calculates Medicaid o/o : 1 - Q k"uarter y time trac 1ng 1
·----· · ---- · ·---- · - ---- · I I
I o/o and requests I 1 - Submits cost reports 1
I reimbursement I 1 with matching dollars 1 I I I I· ----------· ·-----------·
MANY STATES ARE ALREADY CLAIMING MEDICAID APPROVED
ACTIVITIES. THEY INCLUDE:
• Conducting Outreach and Consumer Education about Medicaid • Assisting Individuals to Complete Medicaid Applications • Facilitating Person-Centered Counseling about Medicaid Options • Screening for Medicaid Program • Training about Medicaid • Program Planning/lnteragency
Coordination about Medicaid MEDICAID CLAIMING EXPANSION
ND
SD NY
.�--· NE
Ml
PAIA
NV UT IL IN
KS
.<l CA
co
MO
OK SCARHI
Tl(
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Alabama
Alaska
Florida
Maryland
Massachusetts
Minnesota•
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12 MORE STATES ARE
,,__ IVTI •• IN_...,... ..
•' PLANNING
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PHASE
Mississippi
Montana
New Hampshire
New Jersey
New Mexico
Ohio
Oregon
Washington
Wisconsin
45 MILLION 1
15 states currently claiming for NWD/ADRC activities
12 in the planning phase
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Estimated Medicaid ,,, •
••administrative funding
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•Isupporting NWD System • I Iactivities per year I I
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PHASE 1 TOOLS
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Establish Costs And Document Medicaid Time
Project Work Plan
Presentation for State Level Partner Agencies
Presentation for Stakeholders
Cost Simulator
Code Development Guidance
CLAIMING AMOUNTS
FOR MOST STATES
500,000-■ Currently Claiming
Planning 2,000,000
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per year
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ACL and CMS partnered to produce the I
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NWD System Reference Document for Medicaid Administrative Claiming. :
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PHASE 2 TOOLS
Develop Agreements And Approvals
I Cost Pool Guidance and
I Cost Pool Spreadsheet
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I Sample MOU Language
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1 Represents knowledge from Administration for Community Living informal communication with state NWD System personnel.
FOR MORE INFORMATION PLEASE VISIT NWD.ACL.GOV