Landscape_Medicaid_Healthcare_Information_Technology.pdf
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States are working to apply healthcare information technology (HIT) within their Medicaid programs to improve efficiency and reduce costs. Through initiatives like the Medicaid Transformation Grants and the Medicaid Information Technology Architecture (MITA) framework, states are using HIT to enhance clinical decision making, expand e-prescribing, and provide electronic health records for Medicaid beneficiaries. Going forward, organizations like the National Association of State Medicaid Directors and the State Alliance for e-Health continue to support greater adoption of HIT within Medicaid.
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Running Head MEDICARE POLICY Of 2019 MEDICARE POLIC.docx
Running Head: MEDICARE POLICY Of 2019
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SOCW 6351 Wk 9 Discussion 1. Need Responses.
Respond in one of the following ways:
· Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.
· Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.
Support your response with specific references to the resources. Be sure to provide full APA citations for your references.
NA:
Top of Form
Medicaid is a medical assistance program developed specifically for low income individuals of any age, unlike Medicare, which is designed for those over 65 and have no income requirements (“Difference between Medicare and Medicaid”, n.d.). When health care policies are change, they affect programs such as Medicaid and Medicare. For example, when the ACA (Affordable Care Act) was implemented, it led to an increase of enrollment as it made the process easier and reached more individuals and it expanded Medicaid eligibility to low-income adults (Wachino, Artiga & Rudowitz, 2014).
In the state of Pennsylvania, a Medicaid policy that I would amend would be the Healthy PA policy, which was a Medicaid expansion that included drug and alcohol services (IRETA, 2015). The issue is the length of time it takes for someone to be admitted into a program. Whether it’s getting into an inpatient or outpatient program, the process needs to be expedited and more streamlined. Many who are suffering from substance abuse disorders struggle with finally getting themselves into a program and delaying the process could result in someone hesitating and deciding not to move forward with treatment that is crucial (IRETA, 2015).
In Pennsylvania, stakeholders include a steering committee, which is made up of hospitals, health care providers, consumers, foundations and academic institutions (“HIP”, 2019). This committee comes up with ways to improve population health and control health cost including Medicaid and Medicare. They developed a plan for heathcare delivery that will improve the quality of life for everyone, without limitations on income or background (“HIP”, 2019). This committee has 5 work groups that develop implementation plans for the goals that were developed by the committee and focus on specific aspects such as payment, price and quality transparency, population health, healthcare transformation and health information technology (“HIP”, 2019).
References:
HIP stakeholders. (2019). Retrieved from https://www.health.pa.gov/topics/Health-Innovation/Pages/Stakeholders.aspx
IRETA. (2015). Pennsylvania’s Medicaid expansion smooths the road to addiction treatment, but barriers remain. Retrieved from https://ireta.org/resources/pennsylvanias-medicaid-expansion-smooths-the-road-to-addiction-treatment-but-barriers-remain/
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The landscape of Medicaid and Medicare enrollment in the United States is undergoing dynamic changes,
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objective is to advocate for the adoption of a centralized data-driven decision support system, recognizing
its transformative potential. By harnessing the power of data, we can revolutionize enrollment
management, streamline administrative processes, and facilitate the timely adjustment of policies, ensuring
more efficient and effective healthcare access. Empowerment is at the heart of our mission. We aim to
equip all healthcare stakeholders, from government agencies and insurance providers to healthcare
institutions and enrollees, with knowledge and insights. Informed decisions driven by data will lead to
improved healthcare access, ultimately catalyzing positive change within the Medicaid and Medicare
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Respond by Day 5 to at least two colleagues in one of the foll
Respond by Day 5
to at least two colleagues in one of the following ways:
Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.
Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.
Colleague 1
Chana Smith
RE: Discussion - Week 9
COLLAPSE
How the evolution of health care policy has influenced programs such as Medicaid and Medicare.
America health policy shifted from environmental concerns to individual. Over time we have moved from dispensaries, to marine hospitals, to focusing on check ups. "The federal government entered briefly into health provision during Franklin Roosevelt's New Deal with the Resettlement Administration's medical cooperatives" (Popple & Leighninger, 2019). The Depression led way for prepaid programs such as, Blue Cross and Blue Shield, due to hospitals being left with unpaid hospital bills. The government stepped back in when those who were less healthy, retired, unemployed, underemployed or self employed suffered. This is when both the Democratic and Republican parties worked together to put forth proposals that would protect the senior population that was getting left out of the employer based health plans (Popple & Leighninger 2019). Hospitals were reimbursed by Medicare however, continuously rising hospital costs, resulted in the Reagan administration developing a standardized payment based on diagnosis. Medicare became their cash cow because congress was able to take advantage of the cost reduction by transferring savings in Medicare into the general deficit reduction (Popple & Leighninger, 2019).
Specific Medicaid policy in your state that should be amended, and explain how you would amend it and why.
The Medicaid policy in North Carolina that should be amended is the policy that prohibits payment for diet programs in weight loss centers. Helping recipients with their goal towards weight loss could help reduce Medicaid costs. Medicaid paying for weight loss programs could result in lowered expenses towards weight related health issues such as high blood pressure, and diabeties (dhhs.gov, 2018).
The stakeholders involved in the Medicaid and Medicare health care policy in your state, and explain the role of these stakeholders in policy development for this issue.
The stakeholders involved in the Medicaid and Medicare health care policy include ombudsmen, providers, and consumer health advocacy groups. The provide expertise and knowledge to contribute towards identifying solutions to meet the needs the people. They then work together towards developing the policy (Nguyen, & Miller, 2018).
Colleague 2
Tameka Sutton
RE: Discussion - Week 9
COLLAPSE
In this week’s discussion, we are to communicate the devel ...
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Running head THE DETERMINATION OF ELIGIBILITY FOR MEDICAID .docx
Running head: THE DETERMINATION OF ELIGIBILITY FOR MEDICAID 1
THE DETERMINATION OF ELIGIBILITY FOR MEDICAID 6
The Determination of Eligibility for Medicaid
Tiffany Williams
The Determination of Eligibility for Medicaid
Introduction
The social health care program, Medicaid is aimed at providing health care services to the needy and those with disabilities in the United States. The Act should provide the state with the way forward or criteria to be followed in selecting the people who are to benefit from the social health program. However, over time, it has not been clear to every American citizen as to which criteria should be used in determining the needy in the society. In particular, it has been challenging on selecting the eligible citizens for the program with a focus on the level of income and the level of expenditure. For instance, the issue of “spend down” periods has posed a lot of difficulties in determining the eligibility for Medicaid. A way great issue regarding the funding, expansion, and determination of eligibility for Medicaid includes the requirement by the Supreme Court in the United States for regions such as Massachusetts to contribute the six months’ excess income towards medical expenditure before the Medicaid coverage program begins in such regions. This paper seeks to explain the issue of Medicaid coverage and the eligibility of the different level of community members. It also explores the level of government affected by the issue as well as the analysis of the eligibility of Medicaid.
Economic Issue
The social health program (Medicaid) requires adequate funding in order to cover effectively a large and needy population. While it would be more beneficial to expand the program to the other categories of people in the society such as those with disabilities, there should be constant and enough supply of funds both from the government and the good wishers such as donors to help reach out every needy member of the society. Inadequate funding is an issue since there is a large percentage of people who need medical assistance and cannot afford it unless they get subsidized medical health care or fully assisted by programs such as the Medicaid (Ford, Spicer, & Institute of Medicine (U.S.), 2012).
Coupled with the low income of most of the society members, it is clear and evident enough that the majority of the people in the United States value social programs such as Medicaid. However, failure to adequately fund the program has only led to development and implementation of strict procedures and regulations in determining those who are eligible for the program. In particular, the six-month spend down period has resulted in more complex procedures, some of which are neither clear nor understandable to society members. The methodology used has never been friendly to the low-income people; the approach involving spend down for ...
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Assignment 1
Public Administration – The Good, the Bad, the Ugly
hhhhhhh
Modern Public Administration
Prof. hhhhh
Date: hhhhh
The White House Issue: Health reforms
The Health Care Reforms are the best obsession for the United States, Majorly most of the American citizens who were responsible for originating the improvement found it helpful. Back in the year 2011, a countrywide crackdown was conducted as a way to oppose the frauds that were becoming a health concern, and the federal administration recovered almost $ 4.1 billion. The Health Care Improvement for capturing the healthcare frauds and scams allowed President Obama’s policy to enhance on strict penalties like compensation and fines. By providing the United States citizens with Patient Protection as well as, ACA (Affordable Care Act) was the ultimate presidential success for President Barack Obama (.whitehouse., 2014).
The public policy
As most of the leaders decided to adopt a firm stand with the many important issues within the American State, the essential point was the definition of the improvement of the Health Care in the United States by President Barack Obama and when discussing the fitness and care reform a lot of issues are put on focus.
The public policies are categorized into four groups which are the regulatory policy, the distributive policy, the redistributive policy and lastly the constituent policy. Every issue in the White House is organized it the way it is related to any of the four types of public systems (NCBI, 2016). The financial regime faces most of the significant issues, and many may need to be in a position to determine the problems which are related to funding system because some of these issues affect some of the American citizens.
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SOCW 6351 Wk 9 Discussion 1. Need Responses.Respond in one of t.docx
SOCW 6351 Wk 9 Discussion 1. Need Responses.
Respond in one of the following ways:
· Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.
· Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.
Support your response with specific references to the resources. Be sure to provide full APA citations for your references.
NA:
Top of Form
Medicaid is a medical assistance program developed specifically for low income individuals of any age, unlike Medicare, which is designed for those over 65 and have no income requirements (“Difference between Medicare and Medicaid”, n.d.). When health care policies are change, they affect programs such as Medicaid and Medicare. For example, when the ACA (Affordable Care Act) was implemented, it led to an increase of enrollment as it made the process easier and reached more individuals and it expanded Medicaid eligibility to low-income adults (Wachino, Artiga & Rudowitz, 2014).
In the state of Pennsylvania, a Medicaid policy that I would amend would be the Healthy PA policy, which was a Medicaid expansion that included drug and alcohol services (IRETA, 2015). The issue is the length of time it takes for someone to be admitted into a program. Whether it’s getting into an inpatient or outpatient program, the process needs to be expedited and more streamlined. Many who are suffering from substance abuse disorders struggle with finally getting themselves into a program and delaying the process could result in someone hesitating and deciding not to move forward with treatment that is crucial (IRETA, 2015).
In Pennsylvania, stakeholders include a steering committee, which is made up of hospitals, health care providers, consumers, foundations and academic institutions (“HIP”, 2019). This committee comes up with ways to improve population health and control health cost including Medicaid and Medicare. They developed a plan for heathcare delivery that will improve the quality of life for everyone, without limitations on income or background (“HIP”, 2019). This committee has 5 work groups that develop implementation plans for the goals that were developed by the committee and focus on specific aspects such as payment, price and quality transparency, population health, healthcare transformation and health information technology (“HIP”, 2019).
References:
HIP stakeholders. (2019). Retrieved from https://www.health.pa.gov/topics/Health-Innovation/Pages/Stakeholders.aspx
IRETA. (2015). Pennsylvania’s Medicaid expansion smooths the road to addiction treatment, but barriers remain. Retrieved from https://ireta.org/resources/pennsylvanias-medicaid-expansion-smooths-the-road-to-addiction-treatment-but-barriers-remain/
Wachino, V., A.
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ANALYTIC APPROACH IN ACCESSING TRENDS AND IMPACTS OF MEDICAID-MEDICARE DUAL E...
The landscape of Medicaid and Medicare enrollment in the United States is undergoing dynamic changes,
driven by intricate policies, shifting demographic trends, and evolving healthcare access criteria. This
publication serves as a beacon, illuminating the multifaceted terrain of Medicaid and Medicare dual
enrollment and offering a comprehensive understanding of its complexities and challenges. The primary
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more efficient and effective healthcare access. Empowerment is at the heart of our mission. We aim to
equip all healthcare stakeholders, from government agencies and insurance providers to healthcare
institutions and enrollees, with knowledge and insights. Informed decisions driven by data will lead to
improved healthcare access, ultimately catalyzing positive change within the Medicaid and Medicare
landscape. This publication represents a call to action, urging all players in the healthcare ecosystem to
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cause of accessible and effective healthcare for all.
ANALYTIC APPROACH IN ACCESSING TRENDS AND IMPACTS OF MEDICAID-MEDICARE DUAL E...
The landscape of Medicaid and Medicare enrollment in the United States is undergoing dynamic changes,
driven by intricate policies, shifting demographic trends, and evolving healthcare access criteria. This
publication serves as a beacon, illuminating the multifaceted terrain of Medicaid and Medicare dual
enrollment and offering a comprehensive understanding of its complexities and challenges. The primary
objective is to advocate for the adoption of a centralized data-driven decision support system, recognizing
its transformative potential. By harnessing the power of data, we can revolutionize enrollment
management, streamline administrative processes, and facilitate the timely adjustment of policies, ensuring
more efficient and effective healthcare access. Empowerment is at the heart of our mission. We aim to
equip all healthcare stakeholders, from government agencies and insurance providers to healthcare
institutions and enrollees, with knowledge and insights. Informed decisions driven by data will lead to
improved healthcare access, ultimately catalyzing positive change within the Medicaid and Medicare
landscape. This publication represents a call to action, urging all players in the healthcare ecosystem to
embrace data-driven solutions, adapt to the evolving landscape, and work collaboratively to advance the
cause of accessible and effective healthcare for all.
Respond by Day 5 to at least two colleagues in one of the foll
Respond by Day 5
to at least two colleagues in one of the following ways:
Describe two factors that might make minority groups especially vulnerable in the Medicaid policy your colleague cited. Explain why these groups may not have a voice in the policy-making process.
Offer examples of organized self-help and citizens’ groups as both support mechanisms and potentially powerful lobbies. Describe how these lobbying bodies can help in amending the policy your colleague described.
Colleague 1
Chana Smith
RE: Discussion - Week 9
COLLAPSE
How the evolution of health care policy has influenced programs such as Medicaid and Medicare.
America health policy shifted from environmental concerns to individual. Over time we have moved from dispensaries, to marine hospitals, to focusing on check ups. "The federal government entered briefly into health provision during Franklin Roosevelt's New Deal with the Resettlement Administration's medical cooperatives" (Popple & Leighninger, 2019). The Depression led way for prepaid programs such as, Blue Cross and Blue Shield, due to hospitals being left with unpaid hospital bills. The government stepped back in when those who were less healthy, retired, unemployed, underemployed or self employed suffered. This is when both the Democratic and Republican parties worked together to put forth proposals that would protect the senior population that was getting left out of the employer based health plans (Popple & Leighninger 2019). Hospitals were reimbursed by Medicare however, continuously rising hospital costs, resulted in the Reagan administration developing a standardized payment based on diagnosis. Medicare became their cash cow because congress was able to take advantage of the cost reduction by transferring savings in Medicare into the general deficit reduction (Popple & Leighninger, 2019).
Specific Medicaid policy in your state that should be amended, and explain how you would amend it and why.
The Medicaid policy in North Carolina that should be amended is the policy that prohibits payment for diet programs in weight loss centers. Helping recipients with their goal towards weight loss could help reduce Medicaid costs. Medicaid paying for weight loss programs could result in lowered expenses towards weight related health issues such as high blood pressure, and diabeties (dhhs.gov, 2018).
The stakeholders involved in the Medicaid and Medicare health care policy in your state, and explain the role of these stakeholders in policy development for this issue.
The stakeholders involved in the Medicaid and Medicare health care policy include ombudsmen, providers, and consumer health advocacy groups. The provide expertise and knowledge to contribute towards identifying solutions to meet the needs the people. They then work together towards developing the policy (Nguyen, & Miller, 2018).
Colleague 2
Tameka Sutton
RE: Discussion - Week 9
COLLAPSE
In this week’s discussion, we are to communicate the devel ...
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Running head: THE DETERMINATION OF ELIGIBILITY FOR MEDICAID 1
THE DETERMINATION OF ELIGIBILITY FOR MEDICAID 6
The Determination of Eligibility for Medicaid
Tiffany Williams
The Determination of Eligibility for Medicaid
Introduction
The social health care program, Medicaid is aimed at providing health care services to the needy and those with disabilities in the United States. The Act should provide the state with the way forward or criteria to be followed in selecting the people who are to benefit from the social health program. However, over time, it has not been clear to every American citizen as to which criteria should be used in determining the needy in the society. In particular, it has been challenging on selecting the eligible citizens for the program with a focus on the level of income and the level of expenditure. For instance, the issue of “spend down” periods has posed a lot of difficulties in determining the eligibility for Medicaid. A way great issue regarding the funding, expansion, and determination of eligibility for Medicaid includes the requirement by the Supreme Court in the United States for regions such as Massachusetts to contribute the six months’ excess income towards medical expenditure before the Medicaid coverage program begins in such regions. This paper seeks to explain the issue of Medicaid coverage and the eligibility of the different level of community members. It also explores the level of government affected by the issue as well as the analysis of the eligibility of Medicaid.
Economic Issue
The social health program (Medicaid) requires adequate funding in order to cover effectively a large and needy population. While it would be more beneficial to expand the program to the other categories of people in the society such as those with disabilities, there should be constant and enough supply of funds both from the government and the good wishers such as donors to help reach out every needy member of the society. Inadequate funding is an issue since there is a large percentage of people who need medical assistance and cannot afford it unless they get subsidized medical health care or fully assisted by programs such as the Medicaid (Ford, Spicer, & Institute of Medicine (U.S.), 2012).
Coupled with the low income of most of the society members, it is clear and evident enough that the majority of the people in the United States value social programs such as Medicaid. However, failure to adequately fund the program has only led to development and implementation of strict procedures and regulations in determining those who are eligible for the program. In particular, the six-month spend down period has resulted in more complex procedures, some of which are neither clear nor understandable to society members. The methodology used has never been friendly to the low-income people; the approach involving spend down for ...
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The White House Issue: Health reforms
The Health Care Reforms are the best obsession for the United States, Majorly most of the American citizens who were responsible for originating the improvement found it helpful. Back in the year 2011, a countrywide crackdown was conducted as a way to oppose the frauds that were becoming a health concern, and the federal administration recovered almost $ 4.1 billion. The Health Care Improvement for capturing the healthcare frauds and scams allowed President Obama’s policy to enhance on strict penalties like compensation and fines. By providing the United States citizens with Patient Protection as well as, ACA (Affordable Care Act) was the ultimate presidential success for President Barack Obama (.whitehouse., 2014).
The public policy
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Upload as a courtesy by:
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みなさんこんにちはこれ何文字まで入るの？40文字以下不可とか本当に意味わからないけどこれ限界文字数書いてないからマジでやばい文字数いけるんじゃないの？えこ...
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- 1. ©2008 Healthcare Information and Management Systems Society (HIMSS). Page 1 of 3 Fact Sheet The Landscape for Medicaid and Healthcare Information Technology In an effort to curb spending and improve the efficiency and effectiveness of healthcare delivery within Medicaid, states are actively working to apply healthcare information technology (HIT) within their Medicaid programs. The following fact sheet provides a background on Medicaid and the program’s current initiatives to foster the use of HIT. Background Medicaid ranks among one of the largest components of state budgets, providing health and long-term care to low-income Americans. Serving over 55 million Americans, Medicaid is administered by states and is jointly financed by the federal and state governments. Federal government contributions range from 50% - 76% of total Medicaid spending, depending on per capita income. In 2005, total Medicaid spending reached $305.3 billion,i an increase in $34.4 billion from 2004.ii According to the National Association of State Budget Officer’s (NASBO) “2006 State Expenditure Report,” Medicaid accounted for the largest category of state spending at 21.5%, followed by elementary and secondary education at 21.4%. For 2007, NASBO estimates state Medicaid spending to rise by 7.3% in 2007.iii The rise in Medicaid expenditures can be attributed to state and federal efforts to expand healthcare coverage, as well as the growing long-term care needs of the baby-boomer generation. HIT and Medicaid The use of information technology is nothing new within Medicaid. Since the early 1970s, states have received federal assistance for the development and operation of the Medicaid Management Information System (MMIS), a required system for Medicaid claims processing and information retrieval, unless otherwise waived by the Secretary. Public Law 92-603 provides for 90% federal financial participation (FFP) for the design, development, or installation, and 75% FFP for the operation of a MMIS.iv Because of the limited functionality of MMIS, states have previously been forced to acquire additional, stand-alone information systems to integrate with MMIS to perform such functions as clinical support and data analysis. A lack of a common operating architecture and data standards among the aggregated systems routinely resulted in the inability to directly communicate and accurately exchange health information. To address this problem, the Center for Medicaid and State Operations (CMSO) has been actively working to develop a common information technology framework for Medicaid. “MITA,” the Medicaid Information Technology Architecture, is an architecture framework composed of principles, business and technical models, and guidelines for
- 2. ©2008 Healthcare Information and Management Systems Society (HIMSS). Page 2 of 3 enabling state Medicaid enterprises to meet their needs to administer and deliver healthcare. MITA is intended to serve as the “central nervous system” for Medicaid, helping Medicaid claim processing and information retrieval systems to perform among multiple platforms and health information to easily be accessed and shared throughout the delivery of care. The MITA Framework 2.0 is available and states are encouraged to apply elements of MITA that best align with their strategic and information technology goals.v Medicaid Transformation Grants In 2006, enactment of the Deficit Reduction Act of 2005 (DRA) catapulted states’ engagement in transforming their Medicaid programs through IT. The DRA, an act that aimed to curb entitlement spending in some of our nation’s largest public programs, included $150,000,000 to support states in developing innovative methods to improve the overall delivery of Medicaid. These “Transformation Grants” included $75,000,000 for FY07 and $75,000,000 for FY08. According to the DRA, permissible use of funds included such initiatives that encompassed reducing patient error rates through electronic health records, electronic clinical decision support tools, or e-prescribing, as well as initiatives to reduce fraud, waste, abuse, and improper payments and improve access to care. Since 2007, the Centers for Medicare and Medicaid Services (CMS) has awarded 49 Transformation Grants to 35 states. Awarded in two rounds, January 2007 and October 2007, the Medicaid Transformation Grants supported a wide range of initiatives, such as enhancing clinical decision making through information technology, expanding e- prescribing, and providing electronic health records (EHRs) for children of foster care. Depending on an initiative’s scope, grant awards ranged from $124,800 to $11,749,500. Additional information on the Medicaid Transformation Grants, including awardees’ applications, can be accessed through CMS at: http://www.cms.hhs.gov/MedicaidTransGrants/. In Appendix 1, please find “Together for Quality: A Case Study of Alabama’s Medicaid Transformation Grant” that details a state’s plans to implement EHRs within their Medicaid program. Next Steps Expect to see continued support for HIT within Medicaid in the coming years. This is largely due to the support of organizations that are dedicated to furthering the issue. Since late 2007, the National Association of State Medicaid Directors (NASMD) has sponsored the Multi-State Collaboration for Medicaid Transformation. The Collaboration is a volunteer group made up of state Medicaid directors and their staff who are interested in and working to transform healthcare, healthcare delivery and healthcare administration through HIT within their Medicaid programs. With the involvement of the federal agencies in the Collaboration, including HRSA, CMS, AHRQ, CDC and DoD, states have been sharing lessons learned, harmonizing approaches, standardizing tools (such as RFPs), and leveraging their Medicaid funding through the Medicaid Transformation Grants and MITA. Early next year, the Collaboration plans to hold a conference for states to examine major issues such as consent and provider
- 3. ©2008 Healthcare Information and Management Systems Society (HIMSS). Page 3 of 3 engagement, and use cases. Additional information on the Collaboration can be accessed at: http://www.nasmd.org/issues/medicaid_transformation.asp. The State Alliance for e-Health, a partnership made up of state officials and representatives from the private sector, is also examining the issues and challenges surrounding Medicaid and HIT. Specifically, the taskforce has been charged for the past two years to examine Medicaid’s relationship to HIT and provide some recommendations on how states can best use HIT to improve the delivery of care within their Medicaid programs. To date, taskforces have already delivered a series of recommendations on the issue to the State Alliance that addresses such areas of need as greater funding to develop workforce competencies in IT, the development of state supported incentive programs to encourage Medicaid providers to adopt HIT, and additional measures by Medicaid agencies to help ensure the portable, private, and secure access to personal health information by Medicaid enrollees. The State Alliance is expected to release a comprehensive report on their activities and final recommendations concerning Medicaid and other state-level HIT issues by the close of 2008. Additional information on the State Alliance can be accessed at: www.nga.org/center/ehealth. HIMSS Comments HIMSS will continue to closely monitor issues surrounding Medicaid and HIT. For more information on state HIT policy, please access the HIMSS State Dashboard (http://www.himss.org/StateDashboard/) or contact HIMSS State Government Relations at (703) 562- 8800. i Medicaid Program at a Glance. The Kaiser Commission on Medicaid and the Uninsured. March 2007. Available at: http://www.kff.org/medicaid/upload/7235-02.pdf. ii Medicaid Enrollment and Spending Trends. The Kaiser Commission on Medicaid and the Uninsured. May 2006. Available at: http://www.kff.org/medicaid/upload/7523.pdf. iii 2006 State Expenditure Report. National Association of State Budget Officers. Fall 2007. Available at: http://www.nasbo.org/Publications/PDFs/fy2006er.pdf. iv Overview: Medicaid Management Information System. Centers for Medicare & Medicaid Services. Available at: http://www.cms.hhs.gov/MMIS/. v What Is MITA?. National Association of State Medicaid Directors. Available at: http://www.nasmd.org/issues/docs/CMS’%20Medicaid%20Information%20Technology%20Architecture% 20_MITA%20Overview%202-07.pdf.